Provider Demographics
NPI:1477545838
Name:KRASNER, PAUL PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:PHILLIP
Last Name:KRASNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 MONARCH BAY DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3459
Mailing Address - Country:US
Mailing Address - Phone:714-956-5200
Mailing Address - Fax:714-956-4614
Practice Address - Street 1:1801 W ROMNEYA DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1825
Practice Address - Country:US
Practice Address - Phone:714-956-5200
Practice Address - Fax:714-956-4614
Is Sole Proprietor?:No
Enumeration Date:2005-08-21
Last Update Date:2010-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG22235207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41516Medicare UPIN