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CHRYSTAL LYNN MALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
080952
CT
367500000X
Certified Registered Nurse Anesthetist
5018
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000699
CA
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
04/25/2012
Last updated
03/17/2018
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