Dr Glenn Provost, MD - Anesthesiology in Fountain Valley, CA

Dr Glenn Provost, MD is a Anesthesiology physician based in Fountain Valley, California. Dr Glenn Provost is licensed to practice in California (license number G79498) and his current practice location is 17100 Euclid St, Fountain Valley, California. He can be reached at his office (for appointments etc.) via phone at (714) 979-1211.

NPI number for Dr Glenn Provost is 1326003229 and his current mailing address is 9111 Mahalo Dr, Huntington Beach, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326003229.

Contact Information

Dr Glenn Provost, MD
17100 Euclid St,
Fountain Valley, CA 92708-4004
(714) 979-1211
Not Available



Physician's Profile

Full NameDr Glenn Provost
GenderMale
SpecialityAnesthesiology
Location17100 Euclid St, Fountain Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326003229
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 04/11/2016

Medical Identifiers

Medical identifiers for Dr Glenn Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326003229NPI-NPPES
00G794980MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology G79498 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Provost is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glenn Provost, MD
9111 Mahalo Dr,
Huntington Beach, CA 92646-7863

Ph: (714) 401-9117
Dr Glenn Provost, MD
17100 Euclid St,
Fountain Valley, CA 92708-4004

Ph: (714) 979-1211

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Anesthesiology Doctors in Fountain Valley, CA

Dr. Sandra W Kluwe, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 17100 Euclid St, Fountain Valley, CA 92708
Phone: 714-979-1211    
Elsa A. Tekle, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 17100 Euclid St, Fountain Valley, CA 92708
Phone: 714-949-1211    
Dr. Michael Henry Wong, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 10900 Warner Ave, Suite #101 A, Fountain Valley, CA 92708
Phone: 714-698-1270    Fax: 714-962-7261
Dr. Tu V Nguyen, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708
Phone: 714-378-7000    Fax: 714-647-1245
Michael Audon, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 10900 Warner Ave, Suite 101a, Fountain Valley, CA 92708
Phone: 714-285-2385    Fax: 818-831-1808
Dr. Bharat V Merai, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 17100 Euclid St, Fountain Valley, CA 92708
Phone: 714-979-1211    
Alan Ho, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 18035 Brookhurst St, # 1200, Fountain Valley, CA 92708
Phone: 714-963-7240    

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