Jones, Marilyn Crandall

Jones, Marilyn Crandall is an individual health care provider with primary practice located at 7920 Frost St Ste 200, San Diego CA 92123-2736. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Jones, Marilyn Crandall can be contacted via phone (858) 966-5840.

Contact Information

Primary practice address
7920 Frost St Ste 200 San Diego CA 92123-2736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G30850 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G30850 California

Profile Details

NPI number 1295806040
LBN Legal business name Jones, Marilyn Crandall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 16th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295806040 NPPES
California MEDICAID 00G308500

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