Healthcare Provider Details

I. General information

NPI: 1013185321
Provider Name (Legal Business Name): MICHAEL A KROPF M D A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N HARBOR BLVD SUITE 100
FULLERTON CA
92835-4127
US

IV. Provider business mailing address

PO BOX 5978
FULLERTON CA
92838-0978
US

V. Phone/Fax

Practice location:
  • Phone: 714-992-5292
  • Fax: 714-992-1956
Mailing address:
  • Phone: 714-992-5292
  • Fax: 714-992-1956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberG56288
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL A KROPF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-992-5292