Provider Demographics
NPI:1275537193
Name:DAVIS, CYNTHIA G (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:G
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:530 LOMAS SANTA FE DR
Mailing Address - Street 2:STE 1
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1350
Mailing Address - Country:US
Mailing Address - Phone:858-755-9343
Mailing Address - Fax:858-792-1790
Practice Address - Street 1:530 LOMAS SANTA FE DR
Practice Address - Street 2:STE 1
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1350
Practice Address - Country:US
Practice Address - Phone:858-755-9343
Practice Address - Fax:858-792-1790
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG51656207Y00000X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13745Medicare UPIN