Krystleblue Bautista Santos, - Counselor in Commerce, CA

Krystleblue Bautista Santos, is a Counselor - Addiction (substance Use Disorder) based in Commerce, California. Krystleblue Bautista Santos is licensed to practice in * (Not Available) (license number ) and her current practice location is 5900 S Eastern Ave Ste 142, Commerce, California. She can be reached at her office (for appointments etc.) via phone at (323) 622-2020.

NPI number for Krystleblue Bautista Santos is 1578812194 and her current mailing address is 11334 Duncan Ave, Lynwood, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578812194.

Contact Information

Krystleblue Bautista Santos,
5900 S Eastern Ave Ste 142,
Commerce, CA 90040-4024
(323) 622-2020
(323) 622-2021

Map and Direction


Healthcare Provider's Profile

Full NameKrystleblue Bautista Santos
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5900 S Eastern Ave Ste 142, Commerce, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578812194
  • Provider Enumeration Date: 08/29/2012
  • Last Update Date: 08/29/2012

Medical Identifiers

Medical identifiers for Krystleblue Bautista Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578812194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (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. Krystleblue Bautista Santos 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 AddressPractice Location Address
Krystleblue Bautista Santos,
11334 Duncan Ave,
Lynwood, CA 90262-3043

Ph: (424) 256-4353
Krystleblue Bautista Santos,
5900 S Eastern Ave Ste 142,
Commerce, CA 90040-4024

Ph: (323) 622-2020

Reviews and Comments


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