Provider Demographics
NPI:1598640443
Name:ALMAZAN, GLENN (RNFA)
Entity type:Individual
Prefix:MR
First Name:GLENN
Middle Name:
Last Name:ALMAZAN
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 CRESCENDO LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5094
Mailing Address - Country:US
Mailing Address - Phone:281-785-0090
Mailing Address - Fax:
Practice Address - Street 1:16543 CARMENITA RD
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2218
Practice Address - Country:US
Practice Address - Phone:562-281-8030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95262044163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant