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Moncerrath Cruz Conrriquez

NPI 1912861717 · on the registry since 2025

Practice

Address
1290 Tavern Rd Ste 276
Mammoth Lakes, CA 93546
Phone
(760) 924-1740
Organisation at this address
County Of Mono
County Of Mono
Mono County Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
373H00000X
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-15

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