Provider Information for 1518137264
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CRYSTAL L D'ANGORA MA, MFT
Sex: Female
NPI: 1518137264
Last Updated: 2024-06-19
Certification Date: 2024-06-19
Certification Date: 2024-06-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518137264 | ||||||||||||
| Enumeration Date | 2008-03-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 66708 LOS ANGELES, CA 90066-0708 United States Phone: 818-287-0832 | Fax: | ||||||||||||
| Primary Practice Address | 1200 WILSHIRE BLVD 500 LOS ANGELES, CA 90017-1908 United States Phone: 213-481-7464 | Fax: | ||||||||||||
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