Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Ann Phillips, SUDRC-1

Individual provider Multi-Specialty Clinic/Center · NPI 1013876606

Crystal Ann Phillips, SUDRC-1 is a Multi-Specialty Clinic/Center in El Cajon, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651
Phone: (619) 440-4801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 23113 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence SUDRCI23113 (CA)

Record details

NPI number1013876606
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC-1
Sole proprietorNo
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

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