Healthcare Provider Details

I. General information

NPI: 1265586705
Provider Name (Legal Business Name): MICHAEL A KROPF, MD, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 03/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 20TH ST SUITE 400
SANTA MONICA CA
90404-2050
US

IV. Provider business mailing address

PO BOX 5978
FULLERTON CA
92838-0978
US

V. Phone/Fax

Practice location:
  • Phone: 310-828-7757
  • Fax: 310-828-6687
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