Individual
JACQUELINE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD # B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
(310) 423-8441
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A118055
CA
207R00000X
Internal Medicine Physician
A118055
CA
208M00000X
Hospitalist Physician
Primary
A118055
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2011
Last updated
06/15/2022
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