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NPI Code Detail

MEDICARE: JENNIFER CRUZ

MEDICARE: JENNIFER 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
1106H00000XMarriage & Family Therapist158317CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1932955283
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CRUZ
Provider Business Mailing Address
First Line : 11429 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-3229
Country : US
Telephone Number : 626-993-3000
Fax Number :
Provider Business Practice Location Address
First Line : 11429 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-3229
Country : US
Telephone Number : 626-993-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2024
Last Update Date : 03/02/2026

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Directions to “ JENNIFER CRUZ ” Practice Location

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