Crandall, Barbara
Crandall, Barbara is an individual health care provider with primary practice located at 300 Medical Plz , Los Angeles CA 90095-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Crandall, Barbara can be contacted via phone (310) 825-0109.Contact Information
Primary practice address
300 Medical Plz
Los Angeles CA 90095-0001
Phone: (310) 825-0109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | A18380 | California |
Profile Details
| NPI number | 1417973553 |
|---|---|
| LBN Legal business name | Crandall, Barbara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 2nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417973553 | NPPES |
| California | MEDICAID | 00A183800 |
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