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

Glenn W Fowler, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1104848274

Glenn W Fowler, MD is a Neurology with Special Qualifications in Child Neurology Physician in Orange, 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.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8068
Fax: (714) 456-3765
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence C27260 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence C27260 (CA)

Record details

NPI number1104848274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 54559, Los Angeles, CA 90054-0559

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