Cancelada, Krystal Elvia

Cancelada, Krystal Elvia is an individual health care provider with primary practice located at 23119 Cottonwood Ave Ste 101 , Moreno Valley CA 92553-9661. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cancelada, Krystal Elvia can be contacted via phone (951) 413-5130.

Contact Information

Primary practice address
23119 Cottonwood Ave Ste 101 Moreno Valley CA 92553-9661
Phone: (951) 413-5130
Fax: (951) 413-5230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1265990386
LBN Legal business name Cancelada, Krystal Elvia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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