MEDICARE: CLAIRE KRUPPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G38055	CA
2	208D00000X	General Practice Physician	G38055	CA

General Provider Information

NPI Number	:	1104127521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE KRUPPE M.D.

Provider Business Mailing Address
First Line	:	48820 N VIEW DR
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-6725
Country	:	US
Telephone Number	:	714-865-9707
Fax Number	:

Provider Business Practice Location Address
First Line	:	48820 N VIEW DR
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-6725
Country	:	US
Telephone Number	:	714-865-9707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	03/07/2023

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