Healthcare Provider Details

I. General information

NPI: 1801988050
Provider Name (Legal Business Name): JANET CYNTHIA CONNEY MD, INC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANET CYNTHIA CONNEY MD, (SOLE PROPRIETOR

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12062 VALLEY VIEW STREET SUITE 129
GARDEN GROVE CA
92845
US

IV. Provider business mailing address

12062 VALLEY VIEW STREET SUITE 129
GARDEN GROVE CA
92845
US

V. Phone/Fax

Practice location:
  • Phone: 562-342-3006
  • Fax: 562-206-0042
Mailing address:
  • Phone: 562-342-3006
  • Fax: 562-206-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA55794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: