Healthcare Provider Details

I. General information

NPI: 1669308458
Provider Name (Legal Business Name): CYDNEY PURIFICACION MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR STE 402
ORANGE CA
92868-3855
US

IV. Provider business mailing address

16705 PICADILLY LN
CERRITOS CA
90703-1746
US

V. Phone/Fax

Practice location:
  • Phone: 714-502-5550
  • Fax:
Mailing address:
  • Phone: 562-319-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: CYDNEY PURIFICACION
Title or Position: PRESIDENT
Credential: MD
Phone: 562-319-5032