Provider Demographics
NPI:1942581939
Name:THREE S MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:THREE S MANAGEMENT CORPORATION
Other - Org Name:GLASER FORENSIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:GLASER
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:818-382-9920
Mailing Address - Street 1:16530 VENTURA BLVD
Mailing Address - Street 2:SUITE #600
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4554
Mailing Address - Country:US
Mailing Address - Phone:818-382-9920
Mailing Address - Fax:818-385-1155
Practice Address - Street 1:16530 VENTURA BLVD
Practice Address - Street 2:SUUITE #600
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4554
Practice Address - Country:US
Practice Address - Phone:818-382-9920
Practice Address - Fax:818-385-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherGLASER FORENSIC GROUP