MEDICARE: ZULMA CRUZ

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	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1851168264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULMA CRUZ

Provider Business Mailing Address
First Line	:	5901 MAIN ST
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7920
Country	:	US
Telephone Number	:	719-321-4170
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 MAIN ST
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7920
Country	:	US
Telephone Number	:	719-321-4170
Fax Number	:

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

Provider Enumeration Date	:	12/06/2023
Last Update Date	:	12/06/2023

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Directions to “ ZULMA CRUZ ” Practice Location

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