Healthcare Provider Details

I. General information

NPI: 1306979927
Provider Name (Legal Business Name): CYNTHIA DOYLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 S LA BREA AVE
LOS ANGELES CA
90036-4208
US

IV. Provider business mailing address

650 N ROBERTSON BLVD
WEST HOLLYWOOD CA
90069-5022
US

V. Phone/Fax

Practice location:
  • Phone: 323-934-7739
  • Fax: 323-934-7752
Mailing address:
  • Phone: 310-358-8727
  • Fax: 310-358-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberH20487
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: