Organization
EMILY CRANDALL, M.D
Active
Organization
EMILY CRANDALL, M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CRANDALL M.D. (OWNER)
(310) 453-3452
Entity
Organization
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
207RI0011X
Interventional Cardiology Physician
Primary
G43175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G431750
—
CA
Enumeration date
01/16/2007
Last updated
02/22/2008
Update your record
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