Individual provider · Type 1 NPI

Glenn Eric Waldman, MD

Specialist · Thousand Oaks, CA

NPI number 1881665586 Active

Practice location

415 Rolling Oaks Dr, Suite 190
Thousand Oaks, CA 91361-1029

Call (805) 494-4797 Map

Fax (805) 494-4810

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA62183 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1881665586

Glenn Eric Waldman, MD's National Provider Identifier is 1881665586, issued on Jan 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Aug 14, 2012.