Michael D Krak
Pediatrician
2067 W Vista Way Ste 280
Vista
, California 92083-6034
Michael D Krak
Pediatrician
2067 W Vista Way Ste 280
Vista
, California 92083-6034
(760) 941-1214
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Michael D Krak
- 145 Thunder Dr
- Vista, CA
- Zip : 92083-6010
- Fax : (760) 941-1214
- Phone : (760) 941-3630
Second Address
- Michael D Krak
- 2067 W Vista Way Ste 280
- Vista, CA
- Zip : 92083-6034
- Fax : (760) 941-1214
- Phone : (760) 941-3630
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | G41229 | CA |
National Provider Identifier
| NPI | 1003989419 |
|---|---|
| Provider Name | Michael D Krak |
| First Address | Vista, CA 92083-6010 |
| Second Address | Vista, CA 92083-6034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 04/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G412290 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.