Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN PROVOST, M.D.
Active Sole ProprietorDR. GLENN PROVOST, M.D. is a Anesthesiology healthcare provider located in FOUNTAIN VALLEY, California. NPI 1326003229 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · FOUNTAIN VALLEY, CA
Registration Details
- NPI Number
- 1326003229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.318983772507 yrs)
- Last Updated
- Apr 11, 2016
- License
-
G79498 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17100 EUCLID STFOUNTAIN VALLEY, CA, 927084004Browse CA providers · Browse ZIP 92708
- Phone
- 7149791211
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in FOUNTAIN VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SON THE TRAN | M.D. | 1649272568 |
| ANHTU H. LA | M.D. | 1265413165 |
| DR. HUNG T. NGUYEN | M.D. | 1245211762 |
| DR. BENJAMIN T HO | M.D. | 1558342048 |
| ELSA A. TEKLE | M.D. | 1093799306 |
| ANDY PHUOC QUANG LE | MD | 1659356368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.