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

Glenn Lallave

Individual provider Physical Therapist · NPI 1821454869

Glenn Lallave is a Physical Therapist in Private Practice in Glendale, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

439 W Stocker St Apt 103
Glendale, CA 91202-2371
Phone: (323) 428-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 43306 (CA)

Record details

NPI number1821454869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2016
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address439 W Stocker St, Apt 103, Glendale, CA 91202-2371

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale