Healthcare Provider Details

I. General information

NPI: 1932165354
Provider Name (Legal Business Name): CYNTHIA ZUNIGA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5823 YORK BLVD
LOS ANGELES CA
90042-2634
US

IV. Provider business mailing address

5823 YORK BLVD SUITE 1
LOS ANGELES CA
90042-2634
US

V. Phone/Fax

Practice location:
  • Phone: 323-255-1575
  • Fax: 323-254-2158
Mailing address:
  • Phone: 323-255-5643
  • Fax: 323-254-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA75076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: