Provider Demographics
NPI:1497011985
Name:LORAMED INC
Entity Type:Organization
Organization Name:LORAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-514-2599
Mailing Address - Street 1:1108 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3506
Mailing Address - Country:US
Mailing Address - Phone:714-648-0060
Mailing Address - Fax:714-648-0063
Practice Address - Street 1:1108 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3506
Practice Address - Country:US
Practice Address - Phone:714-648-0060
Practice Address - Fax:714-648-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8272261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care