MEDICARE: KRYSTAL RAY

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1629899729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL RAY

Provider Business Mailing Address
First Line	:	1919 W 7TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4103
Country	:	US
Telephone Number	:	424-222-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 W 7TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4103
Country	:	US
Telephone Number	:	424-222-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	03/26/2026

Similar Medicare Providers

1841076684 — CHERRYN PARQUE PA-C
Practice Location Address:

1919 W 7TH ST
LOS ANGELES, CA
90057-4103

Practice Phone: 866-981-3002
Practice Fax: 213-483-1711

1558765172 — PEGAH MIRHOSSEINI
Practice Location Address:

1919 W 7TH ST
LOS ANGELES, CA
90057-4103

Practice Phone: 424-222-8800
Practice Fax:

1538479282 — DINAH IRANI PA-C
Practice Location Address:

1919 W 7TH ST , 2ND FLOOR
LOS ANGELES, CA
90057-4103

Practice Phone: 213-413-2222
Practice Fax:

1689978850 — PEYMAN BANOONI MEDICAL GROUP INC
Practice Location Address:

1919 W 7TH ST , UNIT 2A
LOS ANGELES, CA
90057-4103

Practice Phone: 310-625-4643
Practice Fax: 310-652-3489

1760762421 — C COHEN DENTAL GROUP, INC
Practice Location Address:

1919 W 7TH ST UNIT B
LOS ANGELES, CA
90057-4103

Practice Phone: 213-484-2186
Practice Fax:

1366847287 — CATREEN E COHEN DENTAL CORPORATION
Practice Location Address:

1919 W 7TH ST # 2A
LOS ANGELES, CA
90057-4103

Practice Phone: 213-484-2186
Practice Fax:

Directions to “ KRYSTAL RAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.