Provider Demographics
NPI:1598038432
Name:PAUL H. CRANE M D INC
Entity Type:Organization
Organization Name:PAUL H. CRANE M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-659-5810
Mailing Address - Street 1:415 N CRESCENT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4861
Mailing Address - Country:US
Mailing Address - Phone:310-659-5810
Mailing Address - Fax:310-271-0527
Practice Address - Street 1:415 N CRESCENT DR STE 100
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4861
Practice Address - Country:US
Practice Address - Phone:310-659-5810
Practice Address - Fax:310-271-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC32748Medicare PIN
CAA87606Medicare UPIN