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DENNIS THOMAS LANGE M.D NPI 1336224757


NPI Information

NPI: 1336224757
Provider Name: DENNIS THOMAS LANGE, M.D,
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
101 E BEVERLY BLVD
SUITE 304
MONTEBELLO, CA
ZIP 90640
Phone: (323) 722-7418
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Dennis Thomas Lange, M.D, is a nephrology internal medicine in Montebello, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Dennis Thomas Lange, M.D, NPI is 1336224757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 E BEVERLY BLVD
SUITE 304
MONTEBELLO, CA
ZIP 90640-300
Phone: (323) 722-7418

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyG68910CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F60292MEDICARE UPINCALIFORNIA
2G68910OTHERCALIFORNIAMEDICAL LICENCE
300G689100MEDICAIDCALIFORNIA
4WG68910BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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