Provider Demographics
NPI:1629160155
Name:CRUZ, MARILOU GEGARE (MD)
Entity Type:Individual
Prefix:
First Name:MARILOU
Middle Name:GEGARE
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9317 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5322
Mailing Address - Country:US
Mailing Address - Phone:562-861-1245
Mailing Address - Fax:562-904-1299
Practice Address - Street 1:9317 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5322
Practice Address - Country:US
Practice Address - Phone:562-861-1245
Practice Address - Fax:562-904-1299
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2023-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA444842080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine