Julio Cruz DDS Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

40566 Issued in CA

Legal business name

JULIO CRUZ DDS INC

Practice address

9210 Katella Ave
Ste C
Anaheim, CA 92804-6376

Phone

(714) 952-9541

Fax

(714) 952-9142

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julio Cruz, DDSNPI 1255484598

Title

President

Phone

(714) 952-9541

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julio Cruz, DDS INC

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1255484598
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043368269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 KATELLA AVE",
            "address_2": "STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046376",
            "telephone_number": "714-952-9541",
            "fax_number": "714-952-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 KATELLA AVE",
            "address_2": "STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046376",
            "telephone_number": "714-952-9541",
            "fax_number": "714-952-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO CRUZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-952-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "40566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phil Won Jun, L.AC.
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• Preferred Provider Organization in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.