MEDICARE: DR. KAREN LEAH CRUEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	8506	NV
2	2084P0800X	Psychiatry Physician	C51514	CA

General Provider Information

NPI Number	:	1437180478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LEAH CRUEY M.D.

Provider Business Mailing Address
First Line	:	515 S FLOWER ST STE 1848
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-2201
Country	:	US
Telephone Number	:	702-419-0595
Fax Number	:	702-247-4082

Provider Business Practice Location Address
First Line	:	2340 PASEO DEL PRADO STE D303
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4342
Country	:	US
Telephone Number	:	702-419-0595
Fax Number	:	702-247-4802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	10/11/2025

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