Provider Demographics
NPI:1659579621
Name:FURNBERG, CYNTHIA (NP-C, MS, CNS)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:FURNBERG
Suffix:
Gender:F
Credentials:NP-C, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22330 HAWTHORNE BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2551
Mailing Address - Country:US
Mailing Address - Phone:310-375-7599
Mailing Address - Fax:
Practice Address - Street 1:22330 HAWTHORNE BLVD STE J
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2551
Practice Address - Country:US
Practice Address - Phone:310-375-7599
Practice Address - Fax:310-375-7001
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16185363LW0102X
133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No133N00000XDietary & Nutritional Service ProvidersNutritionist