Organization
DRANGE HALLMAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLYS DRANGE MD,PHD (CFO/DIRECTOR)
(626) 795-2663
Entity
Organization
Contact information
Practice address
1146 LAVENDER LN, LA CANADA, CA 91011-2339
(626) 795-2663
(973) 425-5657
Mailing address
2029 VERDUGO BLVD # 781, MONTROSE, CA 91020-1626
(626) 795-2663
(973) 425-5657
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A54654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05777Z
BLUE SHIELD PROVIDER NO
—
Enumeration date
08/14/2006
Last updated
05/02/2025
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