Provider Demographics
NPI:1124848601
Name:GLOZMAN, EMMA MAE (NP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:MAE
Last Name:GLOZMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 E VICTORIA ST FL 3
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2018
Practice Address - Country:US
Practice Address - Phone:805-563-0041
Practice Address - Fax:805-563-0051
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2025-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95034749364SX0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology