De La Cruz, Paula Vanessa

De La Cruz, Paula Vanessa is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. De La Cruz, Paula Vanessa can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Fax: (831) 454-4663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 236555 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A77095 California

Profile Details

NPI number 1114088697
LBN Legal business name De La Cruz, Paula Vanessa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Oct 21st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114088697 NPPES
California Other ZZZ91891Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other FHC 70042F COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other ZZZ92069Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other FHC 70044F COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
California Other ZZZ91892Z COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#

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