SearchCaliforniaPhysician Assistant

Glenn Phillips, PA

NPI 1023090487 · on the registry since 2005

Practice

Address
23512 Madero
Mission Viejo, CA 92691
Phone
(949) 583-1600
Fax
(949) 454-8067
Organisation at this address
Bristol Park Medical Group, Inc.
Memorialcare Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California