Search › California › 126800000X
Mario Cruz
NPI 1124633292 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8829 Firestone Plz
South Gate, CA 90280 - Phone
- (323) 239-8062
Registry record
- Primary taxonomy
- 126800000X
126800000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California