Provider Demographics
NPI:1770312027
Name:ZHUANG CRUZ, JOYCE (OD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:ZHUANG CRUZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E CHAPMAN AVE APT 340
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1993
Mailing Address - Country:US
Mailing Address - Phone:240-786-8863
Mailing Address - Fax:
Practice Address - Street 1:2790 CABOT DR STE 135
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-0862
Practice Address - Country:US
Practice Address - Phone:951-277-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT35767-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist