Don Pedro Family Practice

LBN: Don Michael Endress Md
Don Pedro Family Practice is an health care organization with primary practice located at 3191 El Prado Rd Suite D, La Grange CA 95329-9761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Don Michael Endress Md can be contacted via phone (209) 852-2764, or through De La Torre, Sandra Marie via phone (209) 874-2345.

Contact Information

Primary practice address
3191 El Prado Rd Suite D La Grange CA 95329-9761
Phone: (209) 852-2764
Fax: (209) 852-2766
Website:
Map and Directions
Authorized official contact:
Name: De La Torre, Sandra Marie
Phone: (209) 874-2345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A53357 Connecticut

Profile Details

NPI number 1104145861
LBN Legal business name Don Michael Endress Md
DBA Doing business as Don Pedro Family Practice
Authorized official De La Torre, Sandra Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2010
Last updated May 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104145861 NPPES
California MEDICAID 00A533570

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