Stevenson, Crystal Bleu

Stevenson, Crystal Bleu is an sole proprietor health care provider with primary practice located at 6091 Wintergreen Dr , Huntington Beach CA 92647-6463. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Stevenson, Crystal Bleu can be contacted via phone (714) 496-2299.

Contact Information

Primary practice address
6091 Wintergreen Dr Huntington Beach CA 92647-6463
Phone: (714) 496-2299
Fax: (866) 274-0162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT6542 California

Profile Details

NPI number 1184953754
LBN Legal business name Stevenson, Crystal Bleu
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2009
Last updated Dec 10th, 2009 - about 15 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 1184953754 NPPES
California Other OT0065420 BLUE SHIELD

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