Individual
CYNTHIA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277-3413
(310) 316-0811
Mailing address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277-3413
(310) 316-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301041199
MI
207Q00000X
Family Medicine Physician
Primary
G44064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F370780
BCBSM
MI
05
—
2796081
—
MI
Enumeration date
02/28/2006
Last updated
04/25/2013
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