Provider Demographics
NPI:1437471331
Name:ROBLES, CYNTHIA GUADALUPE
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:GUADALUPE
Last Name:ROBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 S TUBEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1616
Mailing Address - Country:US
Mailing Address - Phone:323-887-1917
Mailing Address - Fax:
Practice Address - Street 1:2250 S TUBEWAY AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-1616
Practice Address - Country:US
Practice Address - Phone:323-887-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator