Basic Information
| Provider Information | |||||||||
| NPI: | 1265586705 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHAEL A KROPF, MD, APC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5978 | ||||||||
| Address2: | |||||||||
| City: | FULLERTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928380978 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7149925292 | ||||||||
| FaxNumber: | 7149921956 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 20TH ST | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904042050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108287757 | ||||||||
| FaxNumber: | 3108286687 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 03/18/2009 | ||||||||
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| AuthorizedOfficialLastName: | KROPF | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7149925292 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0117X | G56288 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine |
ID Information
| ID | Type | State | Issuer | Description | OOG562880 | 01 | CA | BLUE SHIELD ID# | OTHER |