Dr Bonnie K Krystal, DDS in Los Angeles, CA

Dr Bonnie K Krystal, DDS is a medicare enrolled "Dentist" provider in Los Angeles, California. Her current practice location is 1803 W Sunset Blvd # 1, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 484-9063.

Dr Bonnie K Krystal is licensed to practice in California (license number 39670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710397559.

Contact Information

	Dr Bonnie K Krystal, DDS
	1803 W Sunset Blvd # 1, Los Angeles, CA 90026-3226
	(213) 484-9063
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bonnie K Krystal
Gender	Female
Speciality	Dentist
Location	1803 W Sunset Blvd # 1, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710397559
Provider Enumeration Date: 05/02/2014
Last Update Date: 05/03/2014

Medicare PECOS Information:

PECOS PAC ID: 9032578810
Enrollment ID: I20230711004327

Medical Identifiers

Medical identifiers for Dr Bonnie K Krystal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710397559	NPI	-	NPPES
39670	Other	CA	CALIF, DENTAL LIC.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	39670 (California)	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. Dr Bonnie K Krystal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bonnie K Krystal, DDS Po Box 1854, Canyon Country, CA 91386-1854 Ph: (213) 484-9063	Dr Bonnie K Krystal, DDS 1803 W Sunset Blvd # 1, Los Angeles, CA 90026-3226 Ph: (213) 484-9063

Reviews and Comments

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Dr Bonnie K Krystal, DDS - Medicare Dentist in Los Angeles, CA