Crystal Maravilla, is a
Student In An Organized Health Care Education/training Program based in Fullerton, California. Crystal Maravilla is licensed to practice in * (Not Available) (license number ) and her current practice location is
801 E Chapman Ave Ste 203, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at
(714) 680-9000.
NPI number for Crystal Maravilla is 1508414871 and her current mailing address is Po Box 919, Fullerton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508414871.
Healthcare Provider's Profile
| Full Name | Crystal Maravilla |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 801 E Chapman Ave Ste 203, Fullerton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508414871
- Provider Enumeration Date: 08/29/2019
- Last Update Date: 06/17/2021
Medical Identifiers
Medical identifiers for Crystal Maravilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508414871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23-7110152 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Maravilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Maravilla,
Po Box 919,
Fullerton, CA 92836-0919
Ph: (714) 680-9000 | Crystal Maravilla,
801 E Chapman Ave Ste 203,
Fullerton, CA 92831-3846
Ph: (714) 680-9000 |
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