Provider Demographics
NPI:1346368263
Name:CRUZ, ELOISA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELOISA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:REYNA
Other - Middle Name:
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1100 S HOPE ST
Mailing Address - Street 2:UNIT #1404
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-2181
Mailing Address - Country:US
Mailing Address - Phone:626-278-6899
Mailing Address - Fax:
Practice Address - Street 1:1100 S HOPE ST
Practice Address - Street 2:UNIT #1404
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-2181
Practice Address - Country:US
Practice Address - Phone:626-278-6899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist