# CYNTHIA KINGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730366048
- **Authorized official:** CNYTHIA KINGERY R.T. (OWNER/PRESIDENT)
- **Authorized official phone:** (951) 278-5590

## Contact information

- **Practice address:** 31368 FLYING CLOUD DR, LAGUNA NIGUEL, CA 92677-2717
- **Practice address phone:** (949) 464-9263
- **Practice address fax:** (951) 272-9924
- **Mailing address:** 1180 OLYMPIC DR, SUITE 108, CORONA, CA 92881-3393
- **Mailing address phone:** (951) 278-5590
- **Mailing address fax:** (951) 272-9924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0207X | Mobile Mammography Clinic/Center | 45265 | CA | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | CA | — |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 09/15/2014