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Individual

EMILIO LOUIS CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4318 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 842-8177
(818) 842-8352
Mailing address
PO BOX 6157, BURBANK, CA 91510-6157
(818) 842-8177
(818) 842-8352

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G39954
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G399540
CA
Enumeration date
11/02/2006
Last updated
07/09/2007
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