1376854612 NPI number — MRS. SYLVIA BIRBA CARTWRIGHT M.D.

Table of content: MRS. SYLVIA BIRBA CARTWRIGHT M.D. (NPI 1376854612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376854612 NPI number — MRS. SYLVIA BIRBA CARTWRIGHT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTWRIGHT
Provider First Name:
SYLVIA
Provider Middle Name:
BIRBA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIRBA CARTWRIGHT
Provider Other First Name:
SYLVIA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376854612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7770 REGENTS RD
Provider Second Line Business Mailing Address:
#249
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92122-1937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-255-0084
Provider Business Mailing Address Fax Number:
858-455-5747

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3252 HOLIDAY CT
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92037-0027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-255-0084
Provider Business Practice Location Address Fax Number:
858-455-5747
Provider Enumeration Date:
07/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A113795 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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