Doctor Name: | DR. CYNTHIA VILLACORTA LAVADIA |
NPI Number: | 1659302230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A45839 |
Business Practice Address: | 125 N Euclid St Fullerton, CA - 928321618 |
Business Phone Number: | 7147731212 |
Business Fax Number: | 7147739900 |
Mailing Address: | 125 N Euclid St, FULLERTON |
State: | CA |
Postal Code: | 928321618 |
Phone Number: | 7147731212 |
Fax Number: | 7147739900 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A45839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |