# CRUZMEDMO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316530132
- **Authorized official:** ANDREW HAMILTON LEWIS DO (OWNER)
- **Authorized official phone:** (831) 239-4331

## Contact information

- **Practice address:** 626 FREDERICK ST, SANTA CRUZ, CA 95062-2203
- **Practice address phone:** (831) 718-0582
- **Mailing address:** 211 LADERA CT, SANTA CRUZ, CA 95060-5209
- **Mailing address phone:** (831) 239-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2021
- **Last updated:** 02/16/2022