Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A75153 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A75153 | CA |
NPI | 1427090091 |
---|---|
Provider Name | Daniel Cruz |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-6997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A751530 | (05) | CA |
H76598 | (02) | CA |