Provider Demographics
NPI:1861736043
Name:REYNA, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:REYNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 LANKERSHIM BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3155
Mailing Address - Country:US
Mailing Address - Phone:818-980-3200
Mailing Address - Fax:818-980-3200
Practice Address - Street 1:5200 LANKERSHIM BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3155
Practice Address - Country:US
Practice Address - Phone:818-980-3200
Practice Address - Fax:818-980-3200
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner