Individual
CYNTHIA M MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
239 S LA CIENEGA BLVD, SUITE 200, BEVERLY HILLS, CA 90211-3328
(310) 659-9566
(310) 329-0176
Mailing address
PO BOX 5333, TORRANCE, CA 90510-5333
(310) 329-2469
(310) 329-0176
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G79441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G794410
—
CA
01
—
246014400
OWCP-FEDERAL EMPLOYEES CO
CA
Enumeration date
08/31/2006
Last updated
06/25/2008
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