Organization Active NPI

Mary Lou Rane PHD

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1093148652
Registry record updated Aug 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
133N00000X
Legal business name
MARY LOU RANE PHD
Practice address
10332 Eastborne Ave
Los Angeles, CA 90024-5350
Phone
(310) 277-0241
Fax
(310) 277-9604
NPI assigned
Aug 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 133N00000X Primary

Addresses

Primary practice location

10332 Eastborne Ave
Los Angeles, CA 90024-5350

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376697600000",
    "number": "1093148652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10332 EASTBORNE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245350",
            "telephone_number": "310-277-0241",
            "fax_number": "310-277-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10332 EASTBORNE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245350",
            "telephone_number": "310-277-0241",
            "fax_number": "310-277-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOU RANE PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-17",
        "last_updated": "2013-08-17",
        "status": "A",
        "authorized_official_last_name": "RANE",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-277-0241",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": "133N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.