Individual ProviderCrystal CruzAcupuncturistOther Service ProvidersPractice Address12021 Wilshire Blvd # 361, Los Angeles, CA 90025-1206(213) 785-1105PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Cruz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902331788Provider TypeIndividualFull NameCruz, CrystalCredentialLA.CGenderFemaleSole ProprietorYesEnumeration Date4/28/2017Last Updated4/28/2017Contact InformationPractice LocationPractice Address12021 Wilshire Blvd # 361, Los Angeles, CA 90025-1206Phone(213) 785-1105FaxUnlisted FaxMailing LocationMailing Address12021 Wilshire Blvd # 361, Los Angeles, CA 90025-1206PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseUnlisted IssuerCalifornia