Glenn Martin Lipton, MD, AMC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

AZ32683 Issued in AZ

Legal business name

GLENN MARTIN LIPTON, MD, AMC

Practice address

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6393

Phone

(310) 574-0400

Fax

(310) 574-0371

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Martin Lipton, M.D.

Title

Owner

Phone

(310) 574-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1770856809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0400",
            "fax_number": "310-574-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0400",
            "fax_number": "310-574-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN MARTIN LIPTON, MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-574-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "AZ32683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Ghovanlou, PT, MPT
• Lisa Beverly Giffen
• Joselyn Gissell Gil
• Robert Joseph Giombetti, M.D.
• Eryn Gitelis
• Global DME Inc.
• Irvin D Godofsky, MD
• Herbert Michael Goldberg, M.D.
• Lindsay Mara Goldman, PA
• Max Dean Goldstein, M.D.

• Interventional Pain Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.