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

Individual provider Internal Medicine Physician · NPI 1881625143

Glenn Gorlitsky, MD is an Internal Medicine in Santa Monica, California. Graduated from Yale University School of Medicine in 1976, 50 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
50
Trained at
Yale University School of Medicine
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

1301 20th St Ste 110
Santa Monica, CA 90404-2096
Phone: (310) 453-0419
Fax: (310) 829-1960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G34311 (CA)

Record details

NPI number1881625143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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