Organization
HEALTH PSYCHOLOGY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR CRUZA (DIRECTOR)
(562) 279-1476
Entity
Organization
Contact information
Practice address
1040 ELM AVE STE 203, LONG BEACH, CA 90813-3266
(562) 279-1476
(562) 279-0211
Mailing address
1040 ELM AVE. SUITE 203, LONG BEACH, CA 90813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
BU20210972
CA
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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