Healthcare Provider Details

I. General information

NPI: 1912374471
Provider Name (Legal Business Name): CYNTHIA HERNNDEZ-RIVERA M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8613 1/4 CEDAR ST
BELLFLOWER CA
90706-7725
US

IV. Provider business mailing address

8613 1/4 CEDAR ST
BELLFLOWER CA
90706-7725
US

V. Phone/Fax

Practice location:
  • Phone: 714-610-6771
  • Fax:
Mailing address:
  • Phone: 714-610-6771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: