Individual
EDWIN A CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 Q ST FL 4, SACRAMENTO, CA 95816-7058
(916) 733-3372
(916) 733-5743
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A65646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151918
—
MT
01
—
A65646
MEDICAL STATE LICENSE
CA
Enumeration date
10/24/2006
Last updated
03/13/2020
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