Individual
NOAH A CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 LOMITA BLVD STE 301, TORRANCE, CA 90505-3956
(310) 405-0693
(310) 356-9126
Mailing address
911 PALMS BLVD, VENICE, CA 90291-3852
(310) 770-5332
(310) 781-9328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A76802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A768020
—
CA
01
—
1407474273
GROUP NPI FOR GOOD DERM INC
—
Enumeration date
01/26/2006
Last updated
06/30/2021
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