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

Glen Wishon, MD

Individual provider Family Medicine Physician · NPI 1447365150

Glen Wishon, MD is a Family Medicine Physician in Redondo Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

520 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3033
Phone: (310) 376-8816
Fax: (310) 374-2806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A26007 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A26007 (CA)

Record details

NPI number1447365150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address520 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3033

Other providers in Redondo Beach