Doctor Name: | MISS ARLENE A CRUZ |
NPI Number: | 1568657906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 10333 El Camino Real Atascadero, CA - 934225808 |
Business Phone Number: | 8054682000 |
Business Fax Number: | 8054686011 |
Mailing Address: | 1600 9th Street, Room 150, Fiscal Allocations And Estimates Unit SACRAMENTO |
State: | CA |
Postal Code: | 958146414 |
Phone Number: | 9166519475 |
Fax Number: | 9166518908 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |