SearchCalifornia175T00000X

Maraisa Glass

NPI 1518623255 · on the registry since 2021

Practice

Address
840 N Avenue 66
Los Angeles, CA 90042
Phone
(310) 422-2465
Clinicians at this address
555

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
225400000X
171M00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-13

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