Individual
MS. CRYSTAL MARIE COATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
433 N CAMDEN DR, SUITE 805, BEVERLY HILLS, CA 90210-4409
(310) 550-7661
Mailing address
433 N CAMDEN DR, SUITE 805, BEVERLY HILLS, CA 90210-4409
(310) 550-7661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21219
CA
363AS0400X
Surgical Physician Assistant
PA21219
CA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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