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NPI Code Detail

MEDICARE: DR. JAMES EDWARD CRUZ MD

MEDICARE:  DR. JAMES EDWARD CRUZ  MD
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
1207Q00000XFamily Medicine PhysicianG064975CA

General Provider Information

NPI Number : 1225115389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EDWARD CRUZ MD
Provider Business Mailing Address
First Line : 217 W. AVENIDA VALENCIA
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92672
Country : US
Telephone Number : 949-842-4597
Fax Number : 949-218-6369
Provider Business Practice Location Address
First Line : 500 CITADEL DRIVE
Second Line : SUITE 490
City : LOS ANGELES
State : CA
Zip : 90040
Country : US
Telephone Number : 323-889-7388
Fax Number : 323-889-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES EDWARD CRUZ MD” Practice Location

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