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NPI Code Detail

MEDICARE: CRUZ ALICIA VALDEZ

MEDICARE:   CRUZ ALICIA VALDEZ
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1952525628
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRUZ ALICIA VALDEZ
Provider Business Mailing Address
First Line : 3970 MASSACHUSETTS AVE
Second Line :
City : LA MESA
State : CA
Zip : 91941-7526
Country : US
Telephone Number : 619-644-2652
Fax Number :
Provider Business Practice Location Address
First Line : 5005 TEXAS ST STE 203
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3723
Country : US
Telephone Number : 619-692-0727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ CRUZ ALICIA VALDEZ ” Practice Location

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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.