Basic Information
| Provider Information | |||||||||
| NPI: | 1336578038 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PENARANDA | ||||||||
| FirstName: | CINDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14416 W. MEEKER BLVD, SUITE100 | ||||||||
| Address2: | BMG-AZ WEST ENDOCRINOLOGY | ||||||||
| City: | SUN CITY WEST | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6238766960 | ||||||||
| FaxNumber: | 6235236594 | ||||||||
| Practice Location | |||||||||
| Address1: | 14416 W MEEKER BLVD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SUN CITY WEST | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853755284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6238766960 | ||||||||
| FaxNumber: | 6235236594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2013 | ||||||||
| LastUpdateDate: | 11/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 800816 | AZ | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.