Individual provider · Type 1 NPI

Hannaise C. Cruz, MD

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

NPI number 1972773570 Active

Practice location

6041 Cadillac Ave
Los Angeles, CA 90034-1702

Call (323) 857-2799 Map

Mailing address

82 Borcher Ave
Yonkers, NY 10704-2738

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X257799 (NY)
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 1972773570

Hannaise C. Cruz, MD's National Provider Identifier is 1972773570, issued on Mar 10, 2008. 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 Dec 8, 2021.