Summer Drake, D.o., Inc. | |
1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 | |
(818) 790-2395 | |
(818) 790-6830 |
Full Name | Summer Drake, D.o., Inc. |
---|---|
Speciality | Family Medicine |
Location | 1818 Verdugo Blvd, Glendale, California |
Authorized Official Name and Position | Summer L Drake (OWNER) |
Authorized Official Contact | 8187902395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summer Drake, D.o., Inc. 1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 Ph: (818) 790-2395 | Summer Drake, D.o., Inc. 1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 Ph: (818) 790-2395 |
NPI Number | 1063749455 |
---|---|
Provider Enumeration Date | 11/05/2009 |
Last Update Date | 11/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063749455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10265 (California) | Primary |
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