Bazan, Cynthia M
Bazan, Cynthia M is an sole proprietor health care provider with primary practice located at 5575 Lake Park Way Ste 100-18 , La Mesa CA 91942-1664. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bazan, Cynthia M can be contacted via phone (619) 259-4424.Contact Information
Primary practice address
5575 Lake Park Way Ste 100-18
La Mesa CA 91942-1664
Phone: (619) 259-4424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 23628 | California |
Profile Details
| NPI number | 1215613500 |
|---|---|
| LBN Legal business name | Bazan, Cynthia M |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2023 |
| Last updated | Jun 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215613500 | NPPES |
| California | Other | 23628 | CAMTC |
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