Healthcare Provider Details

I. General information

NPI: 1679622526
Provider Name (Legal Business Name): CYNTHIA CURRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N FRESNO ST STE 370
FRESNO CA
93701-2363
US

IV. Provider business mailing address

PO BOX 7096
STOCKTON CA
95267-0096
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-4543
  • Fax:
Mailing address:
  • Phone: 209-956-7725
  • Fax: 209-956-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberG22943
License Number StateCA

VIII. Authorized Official

Name: CYNTHIA J CURRY
Title or Position: OWNER
Credential: M.D.
Phone: 559-289-0025