=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417874058
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DANE RANA, DO, A PROFESSIONAL MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2026
-----------------------------------------------------
Last Update Date | 07/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 525 N AZUSA AVE
-----------------------------------------------------
City | COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91722-3502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-250-9374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 525 N AZUSA AVE
-----------------------------------------------------
City | COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91722-3502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-250-9374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DANE RANA
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 702-250-9374
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------