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Individual

MR. CRUZ SALCIDO ORTEGA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
474 S CITRUS AVE, AZUSA, CA 91702-4733
(626) 858-9500
(626) 858-9090
Mailing address
474 S CITRUS AVE, AZUSA, CA 91702-4733
(626) 858-9500
(626) 858-9090

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
03/05/2019
Last updated
03/05/2019
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