Lange, Dennis Thomas

Lange, Dennis Thomas is an sole proprietor health care provider with primary practice located at 101 E Beverly Blvd Suite 304, Montebello CA 90640-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lange, Dennis Thomas can be contacted via phone (323) 722-7418.

Contact Information

Primary practice address
101 E Beverly Blvd Suite 304 Montebello CA 90640-4300
Phone: (323) 722-7418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G68910 California

Profile Details

NPI number 1336224757
LBN Legal business name Lange, Dennis Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336224757 NPPES
California MEDICAID 00G689100
California Other G68910

Popular Providers