Individual
BARBARA CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 825-0109
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-0109
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A18380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A183800
—
CA
Enumeration date
07/14/2006
Last updated
04/02/2013
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