Provider Demographics
NPI:1619264306
Name:CRUZ, ZHOBEIDA MARGARITA
Entity Type:Individual
Prefix:MS
First Name:ZHOBEIDA
Middle Name:MARGARITA
Last Name:CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ZHOBEIDA
Other - Middle Name:MARGARITA
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3660 FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-3422
Mailing Address - Country:US
Mailing Address - Phone:619-521-2250
Mailing Address - Fax:619-521-5944
Practice Address - Street 1:3660 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-3422
Practice Address - Country:US
Practice Address - Phone:619-521-2250
Practice Address - Fax:619-521-5944
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA051195101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)