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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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