Provider Demographics
NPI:1801988050
Name:CONNEY, JANET CYNTHIA (MD, INC)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:CYNTHIA
Last Name:CONNEY
Suffix:
Gender:F
Credentials:MD, INC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:CYNTHIA
Other - Last Name:CONNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, (SOLE PROPRIETOR
Mailing Address - Street 1:12062 VALLEY VIEW STREET
Mailing Address - Street 2:SUITE 129
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845
Mailing Address - Country:US
Mailing Address - Phone:562-342-3006
Mailing Address - Fax:562-206-0042
Practice Address - Street 1:12062 VALLEY VIEW STREET
Practice Address - Street 2:SUITE 129
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845
Practice Address - Country:US
Practice Address - Phone:562-342-3006
Practice Address - Fax:562-206-0042
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA557942084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA55794Medicare UPIN