Healthcare Provider Details

I. General information

NPI: 1336857291
Provider Name (Legal Business Name): CYNTHIA ELIZABETH HALL ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12924 VIA CABALLO ROJO
SAN DIEGO CA
92129-3040
US

IV. Provider business mailing address

12924 VIA CABALLO ROJO
SAN DIEGO CA
92129-3040
US

V. Phone/Fax

Practice location:
  • Phone: 603-338-1696
  • Fax:
Mailing address:
  • Phone: 603-338-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number073
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: