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
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 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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