Individual
MRS. SARA ELENA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
4500 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804-3233
(562) 344-1140
Mailing address
4500 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804-3233
(562) 344-1140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-AWJEXY
CA
Other
Enumeration date
08/15/2007
Last updated
10/24/2023
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