Healthcare Provider Details

I. General information

NPI: 1417879669
Provider Name (Legal Business Name): CYNTHIA CURIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5047 WHITTIER BLVD
LOS ANGELES CA
90022-3116
US

IV. Provider business mailing address

1418 S SPRUCE ST
MONTEBELLO CA
90640-6432
US

V. Phone/Fax

Practice location:
  • Phone: 559-552-1755
  • Fax: 559-533-1911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: