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Contact Information

PHILIP L CREPS, DO
1225 W 190TH ST STE 280
GARDENA, CA90248-4305
 Phone: 310-515-8113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for PHILIP L CREPS · (Male)

NPI # 1649284688
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/27/2006
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 20186
  • IN License # 02001636
  • MI License # 5101011298
  • MO License # 2004001631
  • MO License # 200400631
  • IN Medicaid 200045000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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