| NPI | 1902191125 |
|---|---|
| Former Legal Business Name | FRONTIER MEDICAL GROUP INC. |
| Entity Type | Organization |
| Authorized Contact | DANIEL DRAKE General Practice 310-652-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA A100982) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |