Individual provider · Type 1 NPI

Shantalle Lorilynn Diaz Cruz, MD

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

NPI number 1366239451 Active

Practice location

Uc Davis Health Department Of Pediatrics, 2516 Stockton Boulevard
Sacramento, CA 95817

Call (916) 734-3665 Map

Fax (916) 734-0342

Mailing address

718 Hobart Avenue
Atlantic City, NJ 08401

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 1366239451

Shantalle Lorilynn Diaz Cruz, MD's National Provider Identifier is 1366239451, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 30, 2025.