Healthcare Provider Details

I. General information

NPI: 1609788611
Provider Name (Legal Business Name): CYNTHIA YVONNE PIMENTEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17701 SAN PASQUAL VALLEY RD # 2023
ESCONDIDO CA
92025-5301
US

IV. Provider business mailing address

810 ARBOR GLEN LN
VISTA CA
92081-7913
US

V. Phone/Fax

Practice location:
  • Phone: 760-233-6003
  • Fax:
Mailing address:
  • Phone: 760-233-6003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: