Active NPI
Mary Lou Rane PHD
- Health Maintenance Organization
- Los Angeles, CA
National Provider Identifier
1093148652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.