Provider Demographics
NPI:1295870939
Name:CRANE, PAUL HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HAROLD
Last Name:CRANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32748207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87606Medicare UPIN
CAA87606Medicare ID - Type Unspecified