Jerry Cruz
Jerry Cruz is a Community/Behavioral Health Agency in Newport Beach, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1151 Dove StNewport Beach, CA 92660-2840
Phone: (562) 347-8697
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1780405118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2024 |
| Last updated in NPPES | October 18, 2024 |
| Certification date | October 18, 2024 |
| Mailing address | 1151 Dove St, Newport Beach, CA 92660-2840 |
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