Cracchiolo, Andrea
Cracchiolo, Andrea is an individual health care provider with primary practice located at 200 Ucla Medical Plz Suite 140, Los Angeles CA 90095-8344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cracchiolo, Andrea can be contacted via phone (310) 319-1234.Contact Information
Primary practice address
200 Ucla Medical Plz Suite 140
Los Angeles CA 90095-8344
Phone: (310) 319-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | A21344 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A21344 | California |
Profile Details
| NPI number | 1952477531 |
|---|---|
| LBN Legal business name | Cracchiolo, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jun 23rd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952477531 | NPPES |
| California | MEDICAID | 00A213440 |
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