Doctor Name: | MARLON MENCHAVEZ CRUZ |
NPI Number: | 1306160874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BACHELORS OF ARTS |
License Number: | |
Business Practice Address: | 15317 Rayen St North Hills, CA - 913435117 |
Business Phone Number: | 8188923423 |
Business Fax Number: | 8188934509 |
Mailing Address: | 12641 Misty Pl, CERRITOS |
State: | CA |
Postal Code: | 907036070 |
Phone Number: | 5622294534 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |