| Doctor Name: | CAROL ANN CRAWFORD |
| NPI Number: | 1114016367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 11673 |
| Business Practice Address: | 3460 Katella Ave Los Alamitos, CA - 907202334 |
| Business Phone Number: | 5625946599 |
| Business Fax Number: | 5625986220 |
| Mailing Address: | 11 Technology Dr, IRVINE |
| State: | CA |
| Postal Code: | 926182302 |
| Phone Number: | 9499233277 |
| Fax Number: | 8558125865 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11673 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |