| Glenn Arman Kalustyan Cornell, MD | |
|
Po Box 2768, San Anselmo, CA 94979-2768 | |
| (415) 457-4332 | |
| (415) 444-9255 |
| Full Name | Glenn Arman Kalustyan Cornell |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | Po Box 2768, San Anselmo, 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 Kalustyan Cornell, MD Po Box 2768, San Anselmo, CA 94979-2768 Ph: (415) 457-4332 | Glenn Arman Kalustyan Cornell, MD Po Box 2768, San Anselmo, CA 94979-2768 Ph: (415) 457-4332 |
Dr. Martin G Blinder, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Melville Ave, San Anselmo, CA 94960 Phone: 972-420-8345 Fax: 972-420-7770 | |
Dr. Bruce Arlen Fabric, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 Encina Pl, San Anselmo, CA 94960 Phone: 415-259-0837 | |
Dr. Laura Katherine Waller, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 427b San Anselmo Ave, San Anselmo, CA 94960 Phone: 415-990-1579 | |
Dr. Prapti Mehta, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2 Allemand Ln, San Anselmo, CA 94960 Phone: 415-755-0003 | |
David Brody, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 412 Red Hill Ave Ste 5, San Anselmo, CA 94960 Phone: 415-847-7899 Fax: 949-224-7773 | |
Dr. Paul G. Rossman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9 Agatha Ct, San Anselmo, CA 94960 Phone: 415-686-8047 |