Individual
CHANNING CRAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23860 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-8201
(310) 791-3064
(310) 791-3084
Mailing address
45443 ROBINSON DR, LANCASTER, CA 93535-2219
(240) 727-3569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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