Organization
CHILDRENS CARDIAC DIAGNOSTICS & MEDICAL ASSOC
Active
Other names
Cynthia R Bryant, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA RENEE BRYANT M.D. (PHYSICIAN-SPECIALIST)
(310) 543-9530
Entity
Organization
Contact information
Practice address
3868 W CARSON ST # 331, TORRANCE, CA 90503-6711
(310) 543-9530
(310) 543-9531
Mailing address
PO BOX 3206, PALOS VERDES PENINSULA, CA 90274-9206
(310) 543-9530
(310) 543-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G797480
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/05/2006
Last updated
05/13/2011
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