Individual
CRYSTAL HUSTAD PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
3440 LOMITA BLVD STE 240, TORRANCE, CA 90505-4871
(310) 539-5060
Mailing address
225 LONG BEACH BLVD UNIT 122, LONG BEACH, CA 90802-3186
(714) 316-6530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010408
CA
Other
Enumeration date
12/07/2018
Last updated
06/01/2022
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