Krystal Ly Han, PHARMD
Individual provider Active NPI Pharmacist · Rolling Hills Estates, CA
NPI 1831654508 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1831654508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79719 (CA)
- Practice address
- 901 Silver Spur Rd
Rolling Hills Estates, CA 90274-3805 - Phone
- (310) 377-6728
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79719 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79719 | CA | Yes |
Addresses
Primary practice location
901 Silver Spur Rd
Rolling Hills Estates, CA 90274-3805
Mailing address
901 Silver Spur Rd
Rolling Hills Estates, CA 90274-3805
Other providers in Rolling Hills Estates, CA
- Tania Grivas
- Shawna Hagerty Regan
- Leah Ellenhorn Hahn
- Jennifer Helen Hall
- Melissa Marie Hammill
- Shadi Hashemian
- C. Roger Hastings
- James Henry Hawley
- Terry Whitesides Hawley
- Kirstin Marie Hellmeyer
All providers in Rolling Hills Estates, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.