Individual
EWA IZABELA KRAISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 FAIRMOUNT AVE STE 220, PASADENA, CA 91105-3154
(626) 486-0181
Mailing address
1252 VIN SCULLY AVE, LOS ANGELES, CA 90026-4407
(909) 561-6315
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A130454
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2010
Last updated
04/15/2019
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