Organization
VEIN ABOUT YOU A PROF PHYSICIAN ASSISTANT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL LISA RENE DE COTRET PA-C (OWNER/CEO)
(310) 569-5869
Entity
Organization
Contact information
Practice address
2777 PACIFIC AVE STE 206M, LONG BEACH, CA 90806-2627
(562) 980-0007
Mailing address
3344 LEES AVE, LONG BEACH, CA 90808-4221
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
08/23/2023
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