| Justin De La Cruz, | |
|
7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 | |
| (916) 354-0719 | |
| Not Available |
| Full Name | Justin De La Cruz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7281 Lone Pine Dr Ste D103, Rancho Murieta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407667637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 307229 (California) | Primary |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 | Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 |
Murieta Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7281 Lone Pine Dr, D104, Rancho Murieta, CA 95683 Phone: 916-354-0719 Fax: 916-354-1187 | |
Joseph Jemera, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7281 Lone Pine Dr, Suite D103, Rancho Murieta, CA 95683 Phone: 916-354-0719 Fax: 916-354-1187 |