| Fidel Santa-cruz M D A Professional Corporation | |
|
3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 | |
| (323) 588-3125 | |
| (323) 588-0919 |
| Full Name | Fidel Santa-cruz M D A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3100 E Florence Ave, Huntington Park, California |
| Authorized Official Name and Position | Fidel Santa-cruz (OWNER) |
| Authorized Official Contact | 3235883125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidel Santa-cruz M D A Professional Corporation 3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 Ph: (323) 588-3125 | Fidel Santa-cruz M D A Professional Corporation 3100 E Florence Ave Suite 3 Huntington Park CA 90255-5848 Ph: (323) 588-3125 |
| NPI Number | 1598068868 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Medicare PECOS PAC ID | 7719174341 |
|---|---|
| Medicare Enrollment ID | O20101209000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Fidel Santa Cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972672053 PECOS PAC ID: 0244427987 Enrollment ID: I20101208000011 |
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