Individual
SOWMYA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(562) 803-4500
Mailing address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(562) 803-4500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95024829
CA
Other
Enumeration date
04/26/2023
Last updated
09/17/2025
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