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Individual

DR. CHRISTIAN COSCA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1498 SOUTHGATE AVE, SUITE 102, DALY CITY, CA 94015-4015
(650) 755-4490
(650) 755-2920
Mailing address
2149 E WARNER RD STE 102, TEMPE, AZ 85284-3495
(480) 393-0309
(480) 610-6189

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A96754
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023182227
CA
01
1316099658
GROUP NPI
CA
01
1336117829
WEST BAY NEPHROLOGY ASSOCIATES'S NPI
CA
01
ZZZ04539Z
MEDICARE GROUP
CA
01
ZZZ27071Z
GROUP CA MEDICARE
CA
01
ZZZ86010Z
WEST BAY NEPHROLOGY ASSOCIATES'S TAX ID
CA
Enumeration date
11/20/2006
Last updated
08/26/2019
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