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NPI Code Detail

MEDICARE: MISS SHERYLL VERA CRUZ ELLORENCO MA

MEDICARE: MISS SHERYLL VERA CRUZ ELLORENCO MA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1700919362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHERYLL VERA CRUZ ELLORENCO MA
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 300A
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Provider Business Practice Location Address
First Line : 100 S ANAHEIM BLVD STE 340
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3877
Country : US
Telephone Number : 888-428-3223
Fax Number : 323-866-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/30/2021

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Directions to “ MISS SHERYLL VERA CRUZ ELLORENCO MA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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