| NPI Details | |
|---|---|
| NPI | 1447671334 |
| Enumeration Date | 12/19/2013 |
| Last Updated | 12/19/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 3 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 | |
| Remove 1447671334 NPI Number | |
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.
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