Individual
DR. CYNTHIA A. PURVIANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8910 VILLA LA JOLLA DR, LA JOLLA, CA 92037
(858) 249-6800
(858) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A61273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A612730
—
CA
Enumeration date
01/11/2006
Last updated
10/04/2018
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