Fidel Santa-cruz M D A Professional Corporation | |
3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 | |
(323) 588-3125 | |
(323) 588-0919 |
Full Name | Fidel Santa-cruz M D A Professional Corporation |
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Speciality | Psychiatry & Neurology |
Location | 3100 E Florence Ave, Huntington Park, California |
Authorized Official Name and Position | Fidel Santa-cruz (OWNER) |
Authorized Official Contact | 3235883125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fidel Santa-cruz M D A Professional Corporation 3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 Ph: (323) 588-3125 | Fidel Santa-cruz M D A Professional Corporation 3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 Ph: (323) 588-3125 |
NPI Number | 1598068868 |
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Provider Enumeration Date | 12/08/2010 |
Last Update Date | 12/08/2010 |
Medicare PECOS PAC ID | 7719174341 |
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Medicare Enrollment ID | O20101209000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598068868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Fidel Santa Cruz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972672053 PECOS PAC ID: 0244427987 Enrollment ID: I20101208000011 |
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