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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679077721

Crystal T Deedas, MD is a Student in an Organized Health Care Education/Training Program in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 757 Westwood Plz, Los Angeles, CA 90095-1752 — (310) 825-4128

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A164704 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679077721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESDecember 6, 2021
Certification dateJune 17, 2021
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

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