Crandall, Rebecca Leigh
Crandall, Rebecca Leigh is an sole proprietor health care provider with primary practice located at 11611 San Vicente Blvd Suite 600, Los Angeles CA 90049-5106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Crandall, Rebecca Leigh can be contacted via phone (310) 284-3684.Contact Information
Primary practice address
11611 San Vicente Blvd Suite 600
Los Angeles CA 90049-5106
Phone: (310) 284-3684
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | G077214 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G077214 | California |
Profile Details
| NPI number | 1700051901 |
|---|---|
| LBN Legal business name | Crandall, Rebecca Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 16 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.
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