Individual
ANAI DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 424-5000
Mailing address
9559 DEFIANCE AVE, LOS ANGELES, CA 90002-2342
(323) 593-9025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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