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

Individual provider Registered Dietitian · NPI 1487969960

Crystal Lailla Wallstrom, MS, RDN is a Registered Dietitian in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

752 Portola Ter
Los Angeles, CA 90042-5018
Phone: (909) 936-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1487969960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN
Sole proprietorYes
NPI enumeratedAugust 9, 2010
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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