IndividualActive
Kevan Craig, D.O.
NPI 1912975632 · Pediatric Rehabilitation Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1912975632
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 20A6811 (CA)
Mailing address
4650 Sunset Blvd
Los Angeles, CA 90027
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.