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Individual

IAN M KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(800) 506-6895
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G27540
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G275400
BLUE SHIELD
CA
05
00G275400
CA
Enumeration date
06/30/2006
Last updated
09/11/2007
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