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Eve Magdalen Glazier

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St, Ste 125, Santa Monica, CA 90404-1235

PECOS Enrollment

This provider is enrolled in PECOS as EVE GLAZIER.

Based on the most recent information from CMS, provider Eve Magdalen Glazier is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1285839852
Provider Type
Individual
Full Name
Glazier, Eve Magdalen
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/15/2007
Last Updated
11/23/2010

Contact Information

Practice Location

1245 16th St, Ste 125, Santa Monica, CA 90404-1235

(310) 319-4377

(310) 319-4425

Mailing Location

5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632

(310) 319-4377

(310) 319-4425

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A93608 California

Provider Identifiers

ID	Description	Issuer
ID 00A936080	Description Medicaid	Issuer Unlisted California

Eve Magdalen Glazier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Boctor, Noelle

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Yoon, Kristopher Kuksu

Yeh, Joseph L.

Delshad, Sean

Hua, Johnson

Ahmed, Rafi Syed

Prasad, Preethi

Nwadiuko, Joseph

Wells, Lindsay Katherine