EMILY CRANDALL M.D NPI 1851442537

NPI Information

NPI: 1851442537
Provider Name: EMILY CRANDALL, M.D
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
1807 WILSHIRE BLVD
SUITE C
SANTA MONICA, CA
ZIP 90403
Phone: (310) 453-3452
Get Directions

EMILY CRANDALL, M.D is an interventional cardiology internal medicine in Santa Monica, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. EMILY CRANDALL, M.D NPI is 1851442537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1807 WILSHIRE BLVD
SUITE C
SANTA MONICA, CA
ZIP 90403-652
Phone: (310) 453-3452
Fax: (310) 453-2563

The provider's authorized official is Emily Crandall .
The authorized official title is Owner and has the following contact phone number (310) 453-3452.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	G43175	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G431750	MEDICAID	CALIFORNIA
2	G43175	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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