Individual
MR. TOBIAS JOHN CRANDALL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-9326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95028600
CA
363LA2100X
Acute Care Nurse Practitioner
990306
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60288566
—
CO
Enumeration date
02/03/2012
Last updated
11/15/2024
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