Healthcare Provider Details

I. General information

NPI: 1760759906
Provider Name (Legal Business Name): CINDY ZIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1198 PACIFIC COAST HWY SUITE I
SEAL BEACH CA
90740-6251
US

IV. Provider business mailing address

11 TECHNOLOGY DR
IRVINE CA
92618-2302
US

V. Phone/Fax

Practice location:
  • Phone: 562-799-7071
  • Fax: 562-594-5627
Mailing address:
  • Phone: 949-923-3277
  • Fax: 855-812-5865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA118343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: