Search › California › 207P00000X
Glenn Fernandez, MD
NPI 1124384763 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4636 Toland Way
Los Angeles, CA 90041 - Phone
- (661) 312-6872
Additional practice sites
- 1501 Kings Hwy, Shreveport, LA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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