Individual
ALAN KRYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1582 W SAN MARCOS BLVD STE 100, SAN MARCOS, CA 92078-4081
(760) 591-9975
Mailing address
1582 W SAN MARCOS BLVD STE 100, SAN MARCOS, CA 92078-4081
(760) 591-9975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G74558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G745580
—
CA
01
—
P00290917
RAILROAD MEDICARE
CA
Enumeration date
02/09/2007
Last updated
07/20/2011
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