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General NPI Number Information
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NPI Number | 1548181696
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Entity Type | Individual
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Provider Name | KATRINA LYNN CRUZ
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 3439 LAKEWOOD ST
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City | CARLSBAD
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State | CA
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Zip | 92010-2184
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Country | US
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Telephone | 858-552-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 29504 PLATANUS DR
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City | ESCONDIDO
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State | CA
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Zip | 92026-5942
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Country | US
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Telephone | 442-237-8355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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