Individual provider · Type 1 NPI

Glenn Phillips, PA

Physician Assistant · Mission Viejo, CA

NPI number 1023090487 Active

Practice location

23512 Madero
Mission Viejo, CA 92691-2743

Call (949) 583-1600 Map

Fax (949) 454-8067

Mailing address

17360 Brookhurst St, Attn: Credentialing Department
Fountain Valley, CA 92708-3720

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA 10513 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023090487

Glenn Phillips, PA's National Provider Identifier is 1023090487, issued on Nov 18, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mission Viejo, CA. The record was last updated on May 26, 2016.