Individual
ROBERT M KRASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 SANTA MONICA BLVD, SUITE 206, SANTA MONICA, CA 90404-2095
(310) 828-7226
(310) 828-4426
Mailing address
2336 SANTA MONICA BLVD, SUITE 206, SANTA MONICA, CA 90404-2095
(310) 828-7226
(310) 828-4426
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
G69870
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G69870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G69870
MEDICAL LICENSE
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
Enumeration date
08/03/2006
Last updated
04/19/2011
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