Individual provider · Type 1 NPI

Luis Enrique De la Cruz

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1063330371 Active

Practice location

1731 E 120th St
Los Angeles, CA 90059-3051

Call (323) 568-3347 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063330371

Luis Enrique De la Cruz's National Provider Identifier is 1063330371, issued on Jul 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 7, 2026.