Individual
EVAN MICHAEL KRANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10921 WILSHIRE BLVD, LOS ANGELES, CA 90024-3906
(310) 209-7700
(310) 209-7700
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A32428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A324280
BLUE SHIELD
CA
05
—
00A324280
—
CA
Enumeration date
07/30/2006
Last updated
01/29/2019
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