Individual provider · Type 1 NPI

Manuel De la Cruz

Psychiatric/Mental Health Registered Nurse · Culver City, CA

NPI number 1629504261 Active

Practice location

9808 Venice Blvd
Culver City, CA 90232-2732

Fax (310) 945-3356

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	607959 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1629504261

Manuel De la Cruz's National Provider Identifier is 1629504261, issued on May 2, 2017. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Culver City, CA. The record was last updated on May 2, 2017.