Individual
CARL DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(510) 869-6511
Mailing address
2383 N MAIN ST UNIT 317, WALNUT CREEK, CA 94596-3551
(925) 325-6597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95052605
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001689
CA
Other
Enumeration date
08/22/2019
Last updated
03/08/2022
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