| 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 |