Organization
FIDEL SANTA-CRUZ M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDEL SANTA-CRUZ M D (OWNER)
(323) 588-3125
Entity
Organization
Contact information
Practice address
3100 E FLORENCE AVE, SUITE 3, HUNTINGTON PARK, CA 90255-5848
(323) 588-3125
(323) 588-0919
Mailing address
3100 E FLORENCE AVE, SUITE 3, HUNTINGTON PARK, CA 90255-5848
(323) 588-3125
(323) 588-0919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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