Justine Rae Cruz, NP-C | |
17612 17th St Ste 101, Tustin, CA 92780-1962 | |
(714) 243-5450 | |
Not Available |
Full Name | Justine Rae Cruz |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 17612 17th St Ste 101, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932817897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95021654 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
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Justine Rae Cruz, NP-C 14940 Running Brook Way, Chino Hills, CA 91709-6244 Ph: (909) 438-8000 | Justine Rae Cruz, NP-C 17612 17th St Ste 101, Tustin, CA 92780-1962 Ph: (714) 243-5450 |
Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090 | |
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466 | |
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800 | |
Aishah Mandeel, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676 | |
Jonathan Ramonty Chhean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 | |
Amanda Joy Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 |