Healthcare Provider Details

I. General information

NPI: 1366359895
Provider Name (Legal Business Name): ERENDIRA CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 NEW MONTGOMERY ST UNIT 209
SAN FRANCISCO CA
94105
US

IV. Provider business mailing address

27 LAKEVIEW AVE SAN FRANCISCO
SAN FRANCISCO CA
94112
US

V. Phone/Fax

Practice location:
  • Phone: 415-812-5484
  • Fax:
Mailing address:
  • Phone: 415-812-5484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: