Doctor Name: | NATIVIDAD CRUZ DE JESUS |
NPI Number: | 1306940986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 00A424810 |
Business Practice Address: | 868 West Avenue J Lancaster, CA - 93534 |
Business Phone Number: | 6619452222 |
Business Fax Number: | |
Mailing Address: | 868 West Avenue J, LANCASTER |
State: | CA |
Postal Code: | 93534 |
Phone Number: | 6619452222 |
Fax Number: | 6619407062 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 00A424810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |