Provider Demographics
NPI:1851425417
Name:BALDONADO, CINDY (PA-C)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BALDONADO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:824 E CARSON ST
Mailing Address - Street 2:STE 201
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2262
Mailing Address - Country:US
Mailing Address - Phone:310-521-1311
Mailing Address - Fax:310-514-1313
Practice Address - Street 1:1294 W 6TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-2987
Practice Address - Country:US
Practice Address - Phone:310-521-1311
Practice Address - Fax:310-514-1313
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19047363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical