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

Glenn S Hausdorfer, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1588658249

Glenn S Hausdorfer, MD is a Pathology in San Dimas, California. Graduated from University of Southern California Keck School of Medicine in 1981, 45 years ago. Practices with Citrus Pathology Medical Group, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
45
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2005
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

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone: (909) 599-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence G49307 (CA)

Record details

NPI number1588658249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESMarch 13, 2014

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Citrus Pathology Medical Group — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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