Healthcare Provider Details

I. General information

NPI: 1588601058
Provider Name (Legal Business Name): CYNTHIA C D'ARNAUD-GUERRE
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W SANTA ANA BLVD
SANTA ANA CA
92701-4134
US

IV. Provider business mailing address

912 LOMBARD CT
COSTA MESA CA
92626-6925
US

V. Phone/Fax

Practice location:
  • Phone: 714-347-0300
  • Fax:
Mailing address:
  • Phone: 714-557-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 12932
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT 12932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: