Krystal, Alan

Krystal, Alan is an sole proprietor health care provider with primary practice located at 1582 W San Marcos Blvd Ste 100 , San Marcos CA 92078-4081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krystal, Alan can be contacted via phone (760) 591-9975.

Contact Information

Primary practice address
1582 W San Marcos Blvd Ste 100 San Marcos CA 92078-4081
Phone: (760) 591-9975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G74558 California

Profile Details

NPI number 1215078399
LBN Legal business name Krystal, Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jul 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215078399 NPPES
California Other P00290917 RAILROAD MEDICARE
California MEDICAID 00G745580 RAILROAD MEDICARE

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