Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G56288 | CA |
NPI | 1386798932 |
---|---|
Provider Name | Dr. Michael A Kropf |
First Address | Fullerton, CA 92838-0978 |
Second Address | Santa Monica, CA 90404-2050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G562880 | BLUE SHIELD ID# (01) | CA |
E02792 | (02) | CA |