Provider Demographics
NPI:1750429403
Name:CERVANTES, CINDY DAGSAAN (MSN, APRN, BC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:DAGSAAN
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:LIM
Other - Last Name:DAGSAAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, BC
Mailing Address - Street 1:855 DANS PL
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2364
Mailing Address - Country:US
Mailing Address - Phone:714-672-0260
Mailing Address - Fax:310-222-5629
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:BOX 449
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-5159
Practice Address - Fax:310-222-5629
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP14547363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care