| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Glen Robert Justice | [sources] | |||
| Alias | Pacific Coast Hematology/Oncology | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Glen | [sources] | |||
| Last name | Justice | [sources] | |||
| Middle name | Robert | [sources] | |||
| Registration number | 00G238620 · 1265500318 · 1295731826 · CGP148710 · G23862 · | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 210 Hazel Drive, Corona Del Mar, CA 92625 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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