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NPI Code Detail

MEDICARE: DIGNA CRISTINA CRUZ GROST M.D.

MEDICARE: DIGNA CRISTINA CRUZ GROST 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
12084P0800XPsychiatry PhysicianC175391CA

General Provider Information

NPI Number : 1699844985
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIGNA CRISTINA CRUZ GROST M.D.
Provider Business Mailing Address
First Line : 4256 W OVERLOOK DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-6113
Country : US
Telephone Number : 915-497-2618
Fax Number :
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-9180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/28/2026

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