Provider Demographics
NPI:1659423374
Name:MACER, CYNTHIA LATHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LATHAM
Last Name:MACER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 DEEP VALLEY DR
Mailing Address - Street 2:STE 287
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-7600
Mailing Address - Country:US
Mailing Address - Phone:310-541-8400
Mailing Address - Fax:310-541-7900
Practice Address - Street 1:827 DEEP VALLEY DR
Practice Address - Street 2:SUITE 207
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3647
Practice Address - Country:US
Practice Address - Phone:310-541-8400
Practice Address - Fax:310-541-7900
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2017-01-24
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Provider Licenses
StateLicense IDTaxonomies
CAG67152208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice