Glen F Pastores

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GLEN F PASTORES

Practice address

1761 Hotel Cir S Ste 380
San Diego, CA 92108-3318

Phone

(858) 987-4848

Fax

(858) 987-4849

NPI assigned

Aug 8, 2019

Last updated

Feb 24, 2020By 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

Glen F Pastores, LMFT

Title

Owner/LMFT

Phone

(858) 987-4848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1235784968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "858-987-4848",
            "fax_number": "858-987-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 380",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "858-987-4848",
            "fax_number": "858-987-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN F PASTORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "PASTORES",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "858-987-4848",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LMFT94162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dana Glenn, M.D.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.