# FRONTIER MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frontier Medical Group Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902191125
- **Authorized official:** DR. DANIEL DRAKE MD. (GENERAL PRACTICE)
- **Authorized official phone:** (310) 652-9283

## Contact information

- **Practice address:** 1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
- **Practice address phone:** (310) 652-9283
- **Practice address fax:** (310) 652-9292
- **Mailing address:** 1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
- **Mailing address phone:** (310) 652-9283
- **Mailing address fax:** (310) 652-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | A100982 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2011
- **Last updated:** 06/15/2011