1720007297 NPI number — MRS. SYLVIA BEATRIZ CUMMINGS MFT

Table of content: MRS. SYLVIA BEATRIZ CUMMINGS MFT (NPI 1720007297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720007297 NPI number — MRS. SYLVIA BEATRIZ CUMMINGS MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CUMMINGS
Provider First Name:
SYLVIA
Provider Middle Name:
BEATRIZ
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720007297
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3331 PATRICIA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90064-4823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-922-0840
Provider Business Mailing Address Fax Number:
310-839-7233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
291 S LA CIENEGA BLVD
Provider Second Line Business Practice Location Address:
SUITE NUMBER 401
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90211-3325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-922-0840
Provider Business Practice Location Address Fax Number:
310-839-7233
Provider Enumeration Date:
07/18/2006

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: 106H00000X , with the licence number:  MFC33558 , 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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