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Organization
FRONTIER MEDICAL GROUP INC.
Active
Organization
FRONTIER MEDICAL GROUP INC.
Active
Other names
Frontier Medical Group Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DRAKE MD. (GENERAL PRACTICE)
(310) 652-9283
Entity
Organization
Contact information
Practice address
1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
(310) 652-9283
(310) 652-9292
Mailing address
1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
(310) 652-9283
(310) 652-9292
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
A100982
CA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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