Doctor Name: | CINDY FLAMENCO |
NPI Number: | 1518349240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 11600 Eldridge Ave Lake View Terrace, CA - 913426506 |
Business Phone Number: | 8184034529 |
Business Fax Number: | |
Mailing Address: | 13033 Weidner St, PACOIMA |
State: | CA |
Postal Code: | 913311822 |
Phone Number: | 8183044280 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |