Crystal Corcoran, RD

NPI 1871065466 · on the registry since 2018 · sole proprietor

Practice

Address: 295 Posada Ln Ste C
Templeton, CA 93465
Phone: (805) 434-1166
Organisation at this address: Roman P. Bukachevsky, Md, Inc
Central Coast Facial Surgery Center
Pacific Central Coast Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California