Provider Demographics
NPI:1912937517
Name:SEE, CYNTHIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:C
Last Name:SEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23101 SHERMAN PL
Mailing Address - Street 2:SUITE 311
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2003
Mailing Address - Country:US
Mailing Address - Phone:818-715-7147
Mailing Address - Fax:818-715-9008
Practice Address - Street 1:23101 SHERMAN PL
Practice Address - Street 2:SUITE 311
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2003
Practice Address - Country:US
Practice Address - Phone:818-715-7147
Practice Address - Fax:818-715-9008
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44890174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A448901Medicaid
CA00A448901Medicaid
CAA44890Medicare ID - Type Unspecified