Provider Demographics
NPI:1639104250
Name:GLASPY, JOHN ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ANTHONY
Last Name:GLASPY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5632
Mailing Address - Country:US
Mailing Address - Phone:310-825-6194
Mailing Address - Fax:310-443-0477
Practice Address - Street 1:100 MEDICAL PLZ
Practice Address - Street 2:STE 550
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-794-4955
Practice Address - Fax:310-443-0477
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42778207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G427780Medicaid
CA00G427780Medicaid
CAWG42778BMedicare PIN