Basic Information
Provider Information
NPI: 1730233784
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLOMINSKI
FirstName: CINDY
MiddleName: LOU
NamePrefix:  
NameSuffix:  
Credential: M.D.,M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SLOMINSKI
OtherFirstName: CYNTHIA
OtherMiddleName: LOU
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.,M.P.H.
OtherLastNameType: 5
Mailing Information
Address1: 850 E OCEAN BLVD
Address2: #1105
City: LONG BEACH
State: CA
PostalCode: 908025460
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5201 S VERMONT AVE
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900373527
CountryCode: US
TelephoneNumber: 3237512677
FaxNumber: 3237528547
Other Information
ProviderEnumerationDate: 01/23/2007
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XG074928CAX Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804XG074928CAX Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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