Organization
CESAR CRUZ, M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR CRUZ M.D. (OWNER)
(909) 279-1740
Entity
Organization
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(909) 279-1740
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A120136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A120136
—
CA
Enumeration date
08/17/2016
Last updated
04/02/2025
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