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NPI Code Detail

MEDICARE: CRYSTAL BIAGI M.S.

MEDICARE: CRYSTAL BIAGI M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist51281CA

General Provider Information

NPI Number : 1063533636
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL BIAGI M.S.
Provider Business Mailing Address
First Line : 1004 N LINCOLN ST
Second Line :
City : BURBANK
State : CA
Zip : 91506-1535
Country : US
Telephone Number : 323-337-1710
Fax Number : 323-462-6731
Provider Business Practice Location Address
First Line : 6043 HOLLYWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-5411
Country : US
Telephone Number : 323-337-1710
Fax Number : 323-462-6731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ CRYSTAL BIAGI M.S.” Practice Location

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