=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891067229
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LUPE CRUZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2012
-----------------------------------------------------
Last Update Date | 06/15/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MONTEREY COUNTY HEALTH DEPARTMENT 1270 NATIVIDAD RD,
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-784-2150
-----------------------------------------------------
Fax | 831-758-6640
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 957 BLANCO CIR
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93901-4447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-784-2150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174H00000X
-----------------------------------------------------
Taxonomy Name | Health Educator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------