Crandall, Edward David
Crandall, Edward David is an individual health care provider with primary practice located at 1520 San Pablo St Suite 1000, Los Angeles CA 90033-5310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Crandall, Edward David can be contacted via phone (323) 442-5100.Contact Information
Primary practice address
1520 San Pablo St Suite 1000
Los Angeles CA 90033-5310
Phone: (323) 442-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G28278 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G28278 | California |
Profile Details
| NPI number | 1932249018 |
|---|---|
| LBN Legal business name | Crandall, Edward David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Mar 8th, 2016 - about 9 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 | 1932249018 | NPPES |
| California | Other | W11675 | GROUP MEDICARE PIN |
| California | Other | CE1617 | GROUP MEDICARE PIN |
| California | Other | GR0016910 | GROUP MEDICARE PIN |
| California | Other | 1356390009 | GROUP MEDICARE PIN |
| California | MEDICAID | 00G282780 | GROUP MEDICARE PIN |
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