Individual
CRYSTAL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
661 W 1ST ST STE G, TUSTIN, CA 92780-2939
(714) 665-9890
(714) 665-9891
Mailing address
661 W 1ST ST STE G, TUSTIN, CA 92780-2939
(714) 665-9890
(714) 665-9891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951641454
—
CA
Enumeration date
01/05/2022
Last updated
10/23/2025
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