| Organization Name: | DON MICHAEL ENDRESS MD |
| NPI Number: | 1104145861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA MARIE DE LA TORRE (OFFICE MANAGER) |
| Mailing Address: | 3191 El Prado Rd Suite D La Grange |
| State: | CA US |
| Postal Code: | 953299761 |
| Phone Number: | 2098522764 |
| Fax Number: | 2098522766 |
| NPI Enumeration Date: | 05/20/2010 |
| NPI Last Update Date: | 05/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A53357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |