Individual
BRIAN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W 70TH ST, LOS ANGELES, CA 90044-5218
(323) 242-5000
Mailing address
801 W 70TH ST, LOS ANGELES, CA 90044-5218
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1359170819
CA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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