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Individual

EMILY CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1807 WILSHIRE BLVD, SUITE C, SANTA MONICA, CA 90403-5652
(310) 453-3452
(310) 453-2563
Mailing address
1807 WILSHIRE BLVD, SUITE C, SANTA MONICA, CA 90403-5652
(310) 453-3452
(310) 453-2563

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G43175
CA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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