Individual
CYNTHIA KINGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T.
Contact information
Practice address
3179 ALTA LAGUNA BLVD, LAGUNA BEACH, CA 92651-2061
(949) 464-9263
(951) 272-2815
Mailing address
1180 OLYMPIC DR, SUITE 108, CORONA, CA 92881-3393
(951) 278-5590
(951) 272-2815
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
RHM41857
CA
2471M2300X
Mammography Radiologic Technologist
Primary
RHM41857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130682
FDA
CA
Enumeration date
01/14/2008
Last updated
09/08/2014
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