| Glenn Arman Cornell, MD | |
|
1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 | |
| (415) 457-4332 | |
| (415) 451-4755 |
| Full Name | Glenn Arman Cornell |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1036 Sir Francis Drake Blvd, Kentfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053358341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G33112 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G33112 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Arman Cornell, MD 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 Ph: (415) 457-4332 | Glenn Arman Cornell, MD 1036 Sir Francis Drake Blvd, Kentfield, CA 94904-1427 Ph: (415) 457-4332 |
Dr. Edwyne D Nazarian, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-456-9500 Fax: 415-456-6604 | |
Dr. Gordon David Baumbacher, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 810 College Ave Ste 3, Kentfield, CA 94904 Phone: 415-924-3840 Fax: 415-924-3841 | |
Dr. Michael Allan Freeman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-378-6678 Fax: 415-888-3149 | |
Dr. Stephen M. Raffle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 35 Wolfe Grade, Kentfield, CA 94904 Phone: 415-461-4845 Fax: 415-461-4039 | |
Mrs. Sarah Marie Centeno, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1030 Sir Francis Drake Blvd, Suite 100, Rm 1, Kentfield, CA 94904 Phone: 415-927-7097 Fax: 415-449-3532 | |
Dr. Jeanette Rhoads Margolin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-457-4408 |