Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clarence Glenn III, MD, MBA

Individual provider Specialist · NPI 1114413523

Dr. Clarence Glenn III, MD, MBA is a Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A167345 (CA)
Specialist Taxonomy 174400000X · Licence A167345 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114413523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorYes
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

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