Healthcare Provider Details

I. General information

NPI: 1437220191
Provider Name (Legal Business Name): CYNTHIA DIANE POUNDS B.A, M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19231 VICTORY BLVD STE. 110
RESEDA CA
91335-6308
US

IV. Provider business mailing address

2147 N BEACHWOOD DR UNIT #3
LOS ANGELES CA
90068-3462
US

V. Phone/Fax

Practice location:
  • Phone: 818-708-4500
  • Fax: 818-654-1956
Mailing address:
  • Phone: 323-466-6199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: