NPI 1093148652

Mary Lou Rane PHD

Organisation Health Maintenance Organization Los Angeles, CA

Practice location

Address: 10332 Eastborne Ave, Los Angeles, CA 90024-5350
Phone: (310) 277-0241
Fax: (310) 277-9604

Authorised official

Name: Mary Lou Rane
Title: Doctor
Phone: (310) 277-0241

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 133N00000X

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1093148652
Entity type: Organization
NPI issued: 17 Aug 2013
Record last updated: 17 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.