| Marilou G Cruz Md Inc | |
|
9317 Firestone Blvd Downey CA 90241-5322 | |
| (562) 861-1245 | |
| (562) 904-1299 |
| Full Name | Marilou G Cruz Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9317 Firestone Blvd, Downey, California |
| Authorized Official Name and Position | Marilou Gegare Cruz (PRESIDENT) |
| Authorized Official Contact | 5628611245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilou G Cruz Md Inc 8535 Florence Ave Ste 201 Downey CA 90240-4014 Ph: (562) 861-1245 | Marilou G Cruz Md Inc 9317 Firestone Blvd Downey CA 90241-5322 Ph: (562) 861-1245 |
| NPI Number | 1619232808 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 6305068537 |
|---|---|
| Medicare Enrollment ID | O20141104000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619232808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A44484 (California) | Primary |
| Provider Name | Marilou G Cruz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629160155 PECOS PAC ID: 3274769591 Enrollment ID: I20141104000688 |
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