Provider Demographics
NPI:1427856608
Name:ENDOCRINE ADVANTAGE, INC
Entity type:Organization
Organization Name:ENDOCRINE ADVANTAGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SILVANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-894-8791
Mailing Address - Street 1:10807 LAUREL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10807 LAUREL ST STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0633
Practice Address - Country:US
Practice Address - Phone:909-600-4789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty