| Summer Drake, D.o., Inc. | |
|
1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 | |
| (818) 790-2395 | |
| (818) 790-6830 |
| Full Name | Summer Drake, D.o., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1818 Verdugo Blvd, Glendale, California |
| Authorized Official Name and Position | Summer L Drake (OWNER) |
| Authorized Official Contact | 8187902395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Drake, D.o., Inc. 1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 Ph: (818) 790-2395 | Summer Drake, D.o., Inc. 1818 Verdugo Blvd Suite 300 Glendale CA 91208-1403 Ph: (818) 790-2395 |
| NPI Number | 1063749455 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063749455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A10265 (California) | Primary |
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