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Individual

DR. DAVID A DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3833 WORSHAM AVENUE, SUITE 300, LONG BEACH, CA 90808-1766
(562) 595-5421
(562) 426-2862
Mailing address
3833 WORSHAM AVENUE, SUITE 300, LONG BEACH, CA 90808-1766
(562) 595-5421
(562) 426-2862

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37207
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0058960
CA
Enumeration date
07/31/2006
Last updated
08/25/2015
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