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

Dr. Glenn Provost, MD

Individual provider Anesthesiology Physician · NPI 1326003229

Dr. Glenn Provost, MD is an Anesthesiology Physician in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone: (714) 979-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G79498 (CA)

Record details

NPI number1326003229
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 11, 2016

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