Mark J Cruz, OTR/L | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 248-3000 | |
Not Available |
Full Name | Mark J Cruz |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184133753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 12576 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mark J Cruz, OTR/L 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3000 | Mark J Cruz, OTR/L 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-3000 |
Puneet Dhingra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Henna Chhabra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Justine Michelle Park, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43555 Grimmer Blvd Apt B115, Fremont, CA 94538 Phone: 510-274-7600 | |
Mrs. Gueyfang Jih, PHD OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39022 Presidio Way, Fremont, CA 94538 Phone: 510-792-3743 | |
Ms. Cassandra Marie Sells, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Country Dr, Fremont, CA 94536 Phone: 510-792-4242 | |
Karina Klenchik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39420 Liberty St Ste 150, Fremont, CA 94538 Phone: 510-794-5155 |