Individual
FIDEL SANTA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 E FLORENCE AVE, SUITE #3, HUNTINGTON PARK, CA 90255
(323) 588-3125
(323) 588-0919
Mailing address
3100 E FLORENCE AVE, SUITE #3, HUNTINGTON PARK, CA 90255
(323) 588-3125
(323) 588-0919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A31066
CA
Other
Enumeration date
11/06/2006
Last updated
04/26/2020
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