Provider Demographics
NPI:1346764537
Name:DO, CYNDY KHIEM (DC, MS)
Entity Type:Individual
Prefix:
First Name:CYNDY
Middle Name:KHIEM
Last Name:DO
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 W ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-2742
Mailing Address - Country:US
Mailing Address - Phone:626-313-8822
Mailing Address - Fax:
Practice Address - Street 1:2650 ROSEMEAD BLVD STE 11
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-1524
Practice Address - Country:US
Practice Address - Phone:626-313-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor