Cynthia M Williams a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A5305 Issued in CA

Legal business name

CYNTHIA M WILLIAMS A PROFESSIONAL MEDICAL CORPORATION

Practice address

1247 Pennsylvania Ave
San Diego, CA 92103-4412

Phone

(301) 502-1726

Fax

(619) 425-5869

NPI assigned

Jun 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia M Williams, D.O.

Title

President

Phone

(301) 502-1726

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1538508262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 PENNSYLVANIA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034412",
            "telephone_number": "301-502-1726",
            "fax_number": "619-425-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 PENNSYLVANIA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034412",
            "telephone_number": "301-502-1726",
            "fax_number": "619-425-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA M WILLIAMS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-502-1726",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Health
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• Anna Leigh Cymbaluk, MD
• Trisha Lyn Cymbor
• Cynthia Tuason DDS Inc
• Mackenzie May Cypher
• Michael S Cypress, O.D.
• Alexander Cypro
• Carly Cyr

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.