Individual provider · Type 1 NPI
Pablo De Jesus Cruz Landa
Driver · Garden Grove, CA
NPI number
1386377729
Active
Practice location
13876 Harbor Blvd Ste 3B
Garden Grove, CA 92843-4029
Mailing address
2014 Mabury St
Santa Ana, CA 92705-7149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A7604227 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1386377729
Pablo De Jesus Cruz Landa's National Provider Identifier is 1386377729, issued on Jul 4, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 4, 2022.