Individual
SARAH IRENE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 943-8652
Mailing address
17585 VINE ST, FONTANA, CA 92335-3717
(626) 664-0105
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40901
CA
Other
Enumeration date
02/07/2022
Last updated
11/27/2023
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