Crudo, Jeffrey John

Crudo, Jeffrey John is an individual health care provider with primary practice located at 1100 S Coast Hwy Ste 206 , Laguna Beach CA 92651-2972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Crudo, Jeffrey John can be contacted via phone (949) 715-6890.

Contact Information

Primary practice address
1100 S Coast Hwy Ste 206 Laguna Beach CA 92651-2972
Phone: (949) 715-6890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C128508 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C128508 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12581 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME113261 Florida

Profile Details

NPI number 1508987371
LBN Legal business name Crudo, Jeffrey John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jun 15th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508987371 NPPES
California MEDICAID 1508987371
California MEDICAID 1508987371

Popular Providers