Provider Demographics
NPI:1164635363
Name:MAYHAY-LOPEZ, CYNTHIA GARCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:GARCIA
Last Name:MAYHAY-LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 FRESNO ST
Mailing Address - Street 2:106
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1439
Mailing Address - Country:US
Mailing Address - Phone:559-903-6690
Mailing Address - Fax:
Practice Address - Street 1:2900 FRESNO ST
Practice Address - Street 2:106
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1439
Practice Address - Country:US
Practice Address - Phone:559-903-6690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52879208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice