Provider Demographics
NPI:1720351927
Name:CINTO, BRADFORD ALAN
Entity Type:Individual
Prefix:MR
First Name:BRADFORD
Middle Name:ALAN
Last Name:CINTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 YGNACIO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3535
Mailing Address - Country:US
Mailing Address - Phone:925-256-7230
Mailing Address - Fax:925-256-7214
Practice Address - Street 1:2923 YGNACIO VALLEY RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3535
Practice Address - Country:US
Practice Address - Phone:925-256-7230
Practice Address - Fax:925-256-7214
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist