Individual
MARK ANTHONY DELA CRUZ SY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-4011
Mailing address
11611 MOORPARK ST APT 6, NORTH HOLLYWOOD, CA 91602-4229
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A171500
CA
Other
Enumeration date
04/04/2017
Last updated
09/26/2023
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