Mahoney, Cynthia

Mahoney, Cynthia is an individual health care provider with primary practice located at 20055 Lake Chabot Rd 230, Castro Valley CA 94546-5331. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mahoney, Cynthia can be contacted via phone (510) 881-1490.

Contact Information

Primary practice address
20055 Lake Chabot Rd 230 Castro Valley CA 94546-5331
Phone: (510) 881-1490
Fax: (510) 889-5806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G38257 California

Profile Details

NPI number 1205849031
LBN Legal business name Mahoney, Cynthia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 10th, 2007 - about 18 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205849031 NPPES
California MEDICAID GR0045150

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