Provider Demographics
NPI:1861863466
Name:KRAUSER, CHRIS KRAUSER ALLAN I
Entity Type:Individual
Prefix:MR
First Name:CHRIS KRAUSER
Middle Name:ALLAN
Last Name:KRAUSER
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7436 LOMA VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1433
Mailing Address - Country:US
Mailing Address - Phone:818-963-1384
Mailing Address - Fax:
Practice Address - Street 1:7436 LOMA VERDE AVE
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1433
Practice Address - Country:US
Practice Address - Phone:818-963-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator