Lydia A Cruz Md Inc

LBN: Lydia A Cruz Md Inc
Lydia A Cruz Md Inc is an health care organization with primary practice located at 15248 Eleventh St , Victorville CA 92392. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Lydia A Cruz Md Inc can be contacted via phone (760) 245-8691, or through Moore, Debra J via phone (760) 244-5204.

Contact Information

Primary practice address
15248 Eleventh St Victorville CA 92392
Phone: (760) 245-8691
Fax: (760) 843-6127
Website:
Map and Directions
Authorized official contact:
Name: Moore, Debra J
Phone: (760) 244-5204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A26050 California

Profile Details

NPI number 1053381269
LBN Legal business name Lydia A Cruz Md Inc
DBA Doing business as
Authorized official Moore, Debra J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053381269 NPPES
California MEDICAID 00A260500

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