Individual provider · Type 1 NPI
Justin Lee Glancy, DPM
Foot & Ankle Surgery Podiatrist · Loma Linda, CA
NPI number
1336868066
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Mailing address
74000 Country Club Dr
Palm Desert, CA 92260-1685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL7061 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E6171 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1336868066
Justin Lee Glancy, DPM's National Provider Identifier is 1336868066, issued on Aug 25, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 27, 2025.