Individual
CHANCELOR CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 409-1000
Mailing address
5000 SUNSET AVE, LOS ANGELES, CA 90027
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A163485
CA
Other
Enumeration date
06/28/2018
Last updated
04/30/2024
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