| Iris Gluzman Md Inc | |
|
17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 | |
| (714) 497-3033 | |
| Not Available |
| Full Name | Iris Gluzman Md Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 17150 Euclid St Ste 200, Fountain Valley, California |
| Authorized Official Name and Position | Iris Gluzman (CEO) |
| Authorized Official Contact | 9494129864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Gluzman Md Inc 13217 Jamboree Rd # 514 Tustin CA 92782-9158 Ph: (714) 497-3033 | Iris Gluzman Md Inc 17150 Euclid St Ste 200 Fountain Valley CA 92708-4092 Ph: (714) 497-3033 |
| NPI Number | 1588370415 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 2062884042 |
|---|---|
| Medicare Enrollment ID | O20230221002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588370415 | NPI | - | NPPES |
| A87953 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Iris Gluzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447323613 PECOS PAC ID: 6406957042 Enrollment ID: I20070725000766 |
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