Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A108918 | CA |
NPI | 1306092598 |
---|---|
Provider Name | Dr. Jarrod Anthony Crum |
First Address | Downey, CA 90242-2812 |
Second Address | Downey, CA 90242-2812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 01/12/2021 |