Organization
DON MICHAEL ENDRESS MD
Active
Other names
Don Pedro Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MARIE DE LA TORRE (OFFICE MANAGER)
(209) 874-2345
Entity
Organization
Contact information
Practice address
3191 EL PRADO RD, SUITE D, LA GRANGE, CA 95329-9761
(209) 852-2764
(209) 852-2766
Mailing address
2416 CANASTA CT, LA GRANGE, CA 95329-9633
(209) 852-2765
(209) 852-2766
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A53357
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A533570
—
CA
Enumeration date
05/20/2010
Last updated
05/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us