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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