| Don Michael Endress Md | |
| 
					3191 El Prado Rd Suite D La Grange CA 95329-9761  | |
| (209) 852-2764 | |
| (209) 852-2766 | 
| Full Name | Don Michael Endress Md | 
|---|---|
| Speciality | General Practice | 
| Location | 3191 El Prado Rd, La Grange, California | 
| Authorized Official Name and Position | Sandra Marie De La Torre (OFFICE MANAGER) | 
| Authorized Official Contact | 2098742345 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Don Michael Endress Md 2416 Canasta Ct La Grange CA 95329-9633 Ph: (209) 852-2765  | Don Michael Endress Md 3191 El Prado Rd Suite D La Grange CA 95329-9761 Ph: (209) 852-2764  | 
| NPI Number | 1104145861 | 
|---|---|
| Provider Enumeration Date | 05/20/2010 | 
| Last Update Date | 05/20/2010 | 
| Medicare PECOS PAC ID | 4284758764 | 
|---|---|
| Medicare Enrollment ID | O20100907000272 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104145861 | NPI | - | NPPES | 
| 00A533570 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | A53357 (Connecticut) | Primary |