Ildefonso Cruz MD Medical Corporation
Ildefonso Cruz MD Medical Corporation provides Family Medicine Physician services in Fresno, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
1646 E Herndon Ave Ste 102Fresno, CA 93720-3380
Phone: (559) 449-7300
Fax: (559) 449-7311
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence G28469 (CA) |
|---|
Record details
| NPI number | 1083916316 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ildefonso Cruz — President · (559) 449-7300 |
| NPI enumerated | November 18, 2010 |
| Last updated in NPPES | February 23, 2024 |
| Certification date | February 23, 2024 |
| Mailing address | 1646 E Herndon Ave Ste 102, Fresno, CA 93720-3380 |
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