Individual
ALEJO SANTA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE RM 5505, BERKELEY, CA 94705-2067
(510) 204-4444
(510) 649-8287
Mailing address
3687 MT DIABLO BLVD, SUITE 200, LAFAYETTE, CA 94549-3717
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A80536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A805360
—
CA
01
—
A80536
STATE LICENSE
CA
Enumeration date
08/28/2006
Last updated
07/21/2022
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