Cruz, Ernesto
Cruz, Ernesto is an individual health care provider with primary practice located at 1684 Plum Ln Suite 101, Redlands CA 92374-4596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cruz, Ernesto can be contacted via phone (909) 475-5800.Contact Information
Primary practice address
1684 Plum Ln Suite 101
Redlands CA 92374-4596
Phone: (909) 475-5800
Fax: (909) 475-5805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G49014 | California |
Profile Details
NPI number | 1124001888 |
---|---|
LBN Legal business name | Cruz, Ernesto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 26th, 2005 |
Last updated | Jul 2nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124001888 | NPPES |
California | MEDICAID | GR0051840 |
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