Individual
MRS. CRYSTAL CRISTINA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13607 S MENLO AVE, GARDENA, CA 90247-2135
(805) 714-4643
Mailing address
13607 S MENLO AVE, GARDENA, CA 90247-2135
(805) 714-4643
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
363L00000X
Nurse Practitioner
Primary
95040538
CA
Other
Enumeration date
11/19/2007
Last updated
08/09/2026
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