Healthcare Provider Details

I. General information

NPI: 1669933552
Provider Name (Legal Business Name): EMILY DU KRASOWSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 S DIAMOND BAR BLVD
DIAMOND BAR CA
91765-1606
US

IV. Provider business mailing address

253 S DIAMOND BAR BLVD
DIAMOND BAR CA
91765-1606
US

V. Phone/Fax

Practice location:
  • Phone: 909-860-1144
  • Fax: 909-860-8307
Mailing address:
  • Phone: 909-929-2513
  • Fax: 909-860-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA181493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: