Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN JOSEPH PAYNE, CRT
Active Sole Proprietor2278P1006X · ONTARIO, CA
Registration Details
- NPI Number
- 1962735381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2009 (16.63717758731 yrs)
- Last Updated
- Sep 16, 2009
- Licenses
-
00018987 (CA)00018987 (CA)00018987 (CA)00018987 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1110 E PHILADELPHIA ST9207ONTARIO, CA, 917614810Browse CA providers · Browse ZIP 91761
- Phone
- 9097815406
- Primary Specialty
-
2278P1006X
2278P1006X
- Additional Specialty
- 2278G1100X
- Additional Specialty
- 2278P1004X
- Additional Specialty
- 2278P1006X
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.