| Mr Glenn Phillips, PA | |
|
23512 Madero, Mission Viejo, CA 92691-2743 | |
| (949) 583-1600 | |
| (949) 454-8067 |
| Full Name | Mr Glenn Phillips |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 23512 Madero, Mission Viejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023090487 | NPI | - | NPPES |
| PA10513 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 10513 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glenn Phillips, PA 17360 Brookhurst St, Attn: Credentialing Department, Fountain Valley, CA 92708-3720 Ph: (657) 241-3592 | Mr Glenn Phillips, PA 23512 Madero, Mission Viejo, CA 92691-2743 Ph: (949) 583-1600 |
Lauren Elizabeth Vento, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
John Eric Mellott, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 Fax: 949-365-4941 | |
Miss Jessica Cummings, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 27800 Medical Center Rd Ste 260, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Jaehyun Cho, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 | |
Joseph Zachary Nojan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26024 Acero, Mission Viejo, CA 92691 Phone: 714-545-5550 | |
Richard A. Timmerman Jr., P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 Fax: 949-365-4941 |