Individual provider · Type 1 NPI

Glenn W. Fowler, MD

Neurology with Special Qualifications in Child Neurology Physician · Orange, CA

NPI number 1104848274 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Fax (714) 456-3765

Mailing address

PO Box 54559
Los Angeles, CA 90054-0559

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XC27260 (CA)
Pediatrics Physician 208000000XC27260 (CA)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1104848274

Glenn W. Fowler, MD's National Provider Identifier is 1104848274, issued on Jul 24, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Orange, CA. The record was last updated on Sep 11, 2025.