Individual
CARLA N CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4640 ADMIRALTY WAY STE 1000, MARINA DEL REY, CA 90292-6672
(310) 300-1779
(310) 494-0509
Mailing address
4640 ADMIRALTY WAY STE 1000, MARINA DEL REY, CA 90292-6672
(310) 300-1779
(310) 494-0509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18086
CA
Other
Enumeration date
03/01/2007
Last updated
11/01/2019
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