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NPI Code Detail

MEDICARE: ANDREA KRAJISNIK MD

MEDICARE: ANDREA KRAJISNIK MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA180953CA

General Provider Information

NPI Number : 1164015434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA KRAJISNIK MD
Provider Business Mailing Address
First Line : PO BOX 844650
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-4650
Country : US
Telephone Number : 314-849-3535
Fax Number :
Provider Business Practice Location Address
First Line : 2121 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2303
Country : US
Telephone Number : 310-829-8101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2021
Last Update Date : 02/18/2026

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Directions to “ ANDREA KRAJISNIK MD” Practice Location

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