Organization
CRUZMEDMO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HAMILTON LEWIS DO (OWNER)
(831) 239-4331
Entity
Organization
Contact information
Practice address
626 FREDERICK ST, SANTA CRUZ, CA 95062-2203
(831) 718-0582
Mailing address
211 LADERA CT, SANTA CRUZ, CA 95060-5209
(831) 239-4331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/16/2022
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