Most Relevant Information
Provider Data
| NPI Number: | 1003561192 |
| Provider Name: | CRYSTAL TRANG PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 333600000X |
| Specialty: | Pharmacy |
| License Number: | 82677 |
Most Important Dates
| Enumeration Date: | 02/16/2022 |
| Last Updated: | 02/16/2022 |
Provider Practice Location
6405 MIRA MESA BLVD STE 210
SAN DIEGO
CA
921214146
Practice Location Phone/Fax
| Phone: | 8667016565 |
| Fax: |
Provider Mailing Location
27082 ONEILL DR APT 1221
LADERA RANCH
CA
926940986
Provider Mailing Phone/Fax
| Phone: | 4089609626 |
| Fax: |