Provider Demographics
NPI:1730218231
Name:JUAREZ, CYNTHIA ANN (RNC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LAS TUNAS DR
Mailing Address - Street 2:#101
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8483
Mailing Address - Country:US
Mailing Address - Phone:626-462-0000
Mailing Address - Fax:626-462-0082
Practice Address - Street 1:601 LAS TUNAS DR
Practice Address - Street 2:#101
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8483
Practice Address - Country:US
Practice Address - Phone:626-462-0000
Practice Address - Fax:626-462-0082
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA396630363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology