Provider Demographics
NPI:1730233784
Name:SLOMINSKI, CINDY LOU (MD,MPH)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:SLOMINSKI
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LOU
Other - Last Name:SLOMINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:850 E OCEAN BLVD
Mailing Address - Street 2:#1105
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5201 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3527
Practice Address - Country:US
Practice Address - Phone:323-751-2677
Practice Address - Fax:323-752-8547
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0749282084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF62574G074928Medicare UPIN