Glen Abergel,MD, Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

License

A067324 Issued in CA

Legal business name

GLEN ABERGEL,MD, INC.

Practice address

1910 Outlet Center Dr
Oxnard, CA 93036-0677

Phone

(805) 485-2400

Fax

(805) 485-2455

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glen Abergel, MD

Title

Sole Owner/Sole Officer

Phone

(805) 573-0906

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1073834891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LAS POSAS RD STE G",
            "address_2": "# 202",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103496",
            "telephone_number": "805-389-1553",
            "fax_number": "805-389-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ABERGEL,MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "ABERGEL",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "SOLE OWNER/SOLE OFFICER",
        "authorized_official_telephone_number": "805-573-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A067324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Michael Giroux, BA
• Julie Michele Glantz, LCSW
• Saralee S. Glaser, C.R.N.A.
• Kiana Marie Gleason, ATC
• Glen Abergel, M.D., Inc
• Elizabeth Rose Glinka, PHARM.D.
• Steven J Glinka, MD
• Global Regency Oxnard Senior Care Services LLC (Regency Palms Oxnard)
• Daniel Kidane Goba, M.D.
• Gene Gobuyan

• Contractor in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.