Healthcare Provider Details

I. General information

NPI: 1275470759
Provider Name (Legal Business Name): CYNTHIA JANE WEBB AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 QUAIL ST STE 242
NEWPORT BEACH CA
92660-2749
US

IV. Provider business mailing address

PO BOX 80278
RANCHO SANTA MARGARITA CA
92688-0278
US

V. Phone/Fax

Practice location:
  • Phone: 949-207-9238
  • Fax:
Mailing address:
  • Phone: 949-207-9238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number158875
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: