Provider Demographics
NPI:1790950137
Name:HERBERT E. GLADEN, M.D., INC.
Entity Type:Organization
Organization Name:HERBERT E. GLADEN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GLADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-431-7669
Mailing Address - Street 1:2351 W LOMA LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0417
Mailing Address - Country:US
Mailing Address - Phone:559-431-7669
Mailing Address - Fax:559-432-4879
Practice Address - Street 1:2351 W LOMA LINDA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-0417
Practice Address - Country:US
Practice Address - Phone:559-431-7669
Practice Address - Fax:559-432-4879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59520208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty