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Organization

CRYSTAL SURGICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GILBERT EMILE FAUSTINA MD (CEO)
(818) 906-4466
Entity
Organization

Contact information

Practice address
350 ARDEN AVE STE 102, GLENDALE, CA 91203-1110
(818) 906-4466
(818) 475-1785
Mailing address
350 ARDEN AVE STE 102, GLENDALE, CA 91203-1110
(818) 906-4466
(818) 475-1785

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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