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CHRYSTAL L BOUGON
NPI 1023709326
Specialist in Campbell, CA

Active since May 17, 2023
610 E. CAMPBELL AVE, SUITE 10A, CAMPBELL, CA 95008(408) 712-3809 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chrystal L Bougon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSTAL L BOUGON (NPI 1023709326) is an individual specialist in Campbell, California, licensed in California (L9647) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1023709326
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCHRYSTAL L BOUGON
Location Address610 E. CAMPBELL AVE, SUITE 10ACampbell, CA 95008
Mailing Address610 E. Campbell Ave, Suite 10aCampbell, CA 95008 · (408) 712-3809
Phone(408) 712-3809
Sole ProprietorYes
Enumeration DateMay 17, 2023
NPPES CertifiedMarch 3, 2023
✔ NPI 1023709326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · L9647
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
610 E. CAMPBELL AVE, Campbell, CA 95008
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrystal Bougon's NPI number?

The NPI number for Chrystal Bougon is 1023709326. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Chrystal Bougon located?

Chrystal Bougon practices at 610 E. Campbell Ave Suite 10A, Campbell, CA 95008. The listed phone number is (408) 712-3809.

What is Chrystal Bougon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Chrystal Bougon was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.