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

Glenn Thomas Ault, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1295749802

Glenn Thomas Ault, MD is a Colon & Rectal Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

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

1450 San Pablo St Ste 6200
Los Angeles, CA 90033
Phone: (323) 865-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A54651 (CA)

Record details

NPI number1295749802
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 19, 2020

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