Individual
DEBORAH KRAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 16TH ST STE 2100, SANTA MONICA, CA 90404-1249
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G57061
CA
207V00000X
Obstetrics & Gynecology Physician
G57061
CA
207VM0101X
Maternal & Fetal Medicine Physician
G57061
CA
207X00000X
Orthopaedic Surgery Physician
G57061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G570610
—
CA
Enumeration date
11/23/2005
Last updated
12/23/2024
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