Provider Demographics
NPI:1689844979
Name:L A ENDOCRINE CARE INC
Entity Type:Organization
Organization Name:L A ENDOCRINE CARE INC
Other - Org Name:DIANA ECHEVERRY FRANCK, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVERRY-FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-779-1075
Mailing Address - Street 1:3610 LONG BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-6036
Mailing Address - Country:US
Mailing Address - Phone:562-634-9802
Mailing Address - Fax:
Practice Address - Street 1:3610 LONG BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-6036
Practice Address - Country:US
Practice Address - Phone:562-634-9802
Practice Address - Fax:310-579-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RE0101X
CAA66198261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH24414Medicare UPIN