Healthcare Provider Details

I. General information

NPI: 1548091796
Provider Name (Legal Business Name): CLAUDIA YANELI A CRUZ ESPINDOLA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2024
Last Update Date: 08/09/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 PANAMA RD STE 101&103
LAMONT CA
93241-1633
US

IV. Provider business mailing address

1430 TRUXTUN AVE STE 400
BAKERSFIELD CA
93301-5220
US

V. Phone/Fax

Practice location:
  • Phone: 661-845-3717
  • Fax: 661-845-3385
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-732-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: