MEDICARE: ALFONSO CRUZ MANUEL

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
1	363L00000X	Nurse Practitioner	95005711	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95005711	OTHER	CA	NP FURNISHING NUMBER

General Provider Information

NPI Number	:	1124563358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO CRUZ MANUEL

Provider Business Mailing Address
First Line	:	7653 COLDWATER CANYON CT
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2048
Country	:	US
Telephone Number	:	818-200-7062
Fax Number	:

Provider Business Practice Location Address
First Line	:	7653 COLDWATER CANYON CT
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2048
Country	:	US
Telephone Number	:	818-200-7062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2016
Last Update Date	:	05/07/2024

Similar Medicare Providers

1043443393 — DR. MAGDALENA UHART M.D.
Practice Location Address:

8700 BEVERLY BLVD , NORTH TOWER, PL LEVEL, RM 2048
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-8248
Practice Fax: 310-248-6748

1275493744 — MR. KENNETH BRANDON TURNER CMT
Practice Location Address:

1140 N CLARK ST APT 214
WEST HOLLYWOOD, CA
90069-2048

Practice Phone: 323-793-7813
Practice Fax:

1811453590 — SANDRA'S CAR SERVICE LLC
Practice Location Address:

2048 MCKINLEY ST. BAY #1
HOLLYWOOD, FL
33020

Practice Phone: 954-851-3340
Practice Fax:

1033071808 — JOLYN LIU
Practice Location Address:

26 NORTH RD
GREAT NECK, NY
11024-2048

Practice Phone: 347-987-2678
Practice Fax:

1124155999 — UNIVERSITY PRIMARY CARE PRACTICES, INC.
Practice Location Address:

6150 EMERALD ST
NORTH RIDGEVILLE, OH
44039-2048

Practice Phone: 440-406-5800
Practice Fax: 216-201-6914

1801928171 — MR. ISRAEL MALDONADO JR. LMT
Practice Location Address:

6150 EMERALD ST
NORTH RIDGEVILLE, OH
44039-2048

Practice Phone: 440-339-5619
Practice Fax: 440-327-1656

Directions to “ ALFONSO CRUZ MANUEL ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.