IndividualActive
Glenn Ault, M.D.
NPI 1295749802 · Colon & Rectal Surgery Physician · Los Angeles, CA
Provider details
- NPI number
- 1295749802
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A54651 (CA)
Practice location
1450 San Pablo St Ste 6200
Los Angeles, CA 90033
Phone: (323) 865-3690
Mailing address
Po Box 31309
Los Angeles, CA 90031-0309
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.