DR. CLARENCE GLENN III MD, MBA
NPI 1114413523
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Q: What is Clarence Glenn's NPI number?

The NPI number for Clarence Glenn is 1114413523. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Clarence Glenn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Glenn was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2018

4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Mar 30, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2018).

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About Dr. Clarence Glenn Iii Md, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLARENCE GLENN III MD, MBA (NPI 1114413523) is an individual psychiatry provider in Los Angeles, California, licensed in California (A167345) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1114413523

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. CLARENCE GLENN IIICredential: MD, MBA

Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622

Mailing Address702 S St Andrews Pl Apt 8Los Angeles, CA 90005-3145

Phone(323) 233-0425

Sole ProprietorYes

Enumeration DateJuly 9, 2018

Last NPPES UpdateJuly 5, 20235 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1114413523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A167345

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedSpecialistTaxonomy 174400000X · License A167345 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4211 AVALON BLVD, Los Angeles, CA 90011

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL MARTIN

Registered Nurse