Usc-telehealth

NPI 1447671334 - Social Worker - 1041C0700X

NPI Details
NPI 1447671334
Enumeration Date 12/19/2013
Last Updated 12/19/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KRYSTAL KRYSTAL
Position CLINICAL PSYCHOTHERAPIST, INTERN
Phone (213) 821-5930
Fax
Practice Location
3375 S HOOVER ST
SUITE H201
LOS ANGELES CA, 90089-0116, US
Phone (213) 821-5930
Fax
Business Location
17202 INGLEWOOD AVE
UNIT 122
LAWNDALE CA, 90260-3139, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Usc-telehealth NPI is 1447671334, taxonomy code is 1041C0700X Usc-telehealth physically located at 3375 S Hoover St, Los Angeles CA, 90089-0116. NPI Number 1033115704 has the healthcare provider type.

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1447671334 NPI number is provided on an as is basis without warranty of any kind. 1447671334 is maintained by the National Plan & Provider Enumeration System. The contents of Usc-telehealth are for informational purposes only.