Provider Demographics
NPI:1710190053
Name:GLASSER, BETH DANA (DC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:DANA
Last Name:GLASSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2043 WESTCLIFF DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5537
Mailing Address - Country:US
Mailing Address - Phone:714-264-2641
Mailing Address - Fax:949-646-6293
Practice Address - Street 1:2043 WESTCLIFF DR
Practice Address - Street 2:SUITE 213
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5537
Practice Address - Country:US
Practice Address - Phone:714-264-2641
Practice Address - Fax:949-646-6293
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor