Provider Type Icon

GLEN D. JARUS M.D. INC. NPI 1124171657


NPI Information

NPI: 1124171657
Provider Name: GLEN D. JARUS, M.D., INC.
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
6319 GREENLEAF AVE
WHITTIER, CA
ZIP 90601
Phone: (562) 945-2468
Get Directions

GLEN D. JARUS, M.D., INC. is a retina specialist ophthalmology in Whittier, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. GLEN D. JARUS, M.D., INC. NPI is 1124171657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6319 GREENLEAF AVE
WHITTIER, CA
ZIP 90601-536
Phone: (562) 945-2468
Fax: (562) 945-8804

The provider's authorized official is Glen Daniel Jarus .
The authorized official title is President and has the following contact phone number (562) 945-2468.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 4/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0107XOphthalmologyRetina SpecialistG36924CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11782MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A91835MEDICARE UPINCALIFORNIA
3W11782AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4GR0053740MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5GR0053741MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.