Individual
CRUZ CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3145 BOUNDARY ST, SAN DIEGO, CA 92104-4702
(619) 379-2110
Mailing address
3145 BOUNDARY ST, SAN DIEGO, CA 92104-4702
(619) 379-2110
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
B2014009535
CA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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