Healthcare Provider Details

I. General information

NPI: 1972814739
Provider Name (Legal Business Name): CINDY FIBEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2010
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 NEWPORT CENTER DR STE 380
NEWPORT BEACH CA
92660
US

IV. Provider business mailing address

450 NEWPORT CENTER DR STE 380
NEWPORT BEACH CA
92660-7613
US

V. Phone/Fax

Practice location:
  • Phone: 949-891-0307
  • Fax: 800-217-8204
Mailing address:
  • Phone: 949-891-0307
  • Fax: 800-217-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA120428
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: