Provider Demographics
NPI:1194812115
Name:MARTIN WESTBROOK, CYNTHIA LEE (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LEE
Last Name:MARTIN WESTBROOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 HARTNELL ST
Mailing Address - Street 2:STE C2
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-373-6004
Mailing Address - Fax:831-373-6916
Practice Address - Street 1:550 HARTNELL ST
Practice Address - Street 2:STE C2
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-373-6004
Practice Address - Fax:831-373-6916
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPTAN# : HC196AMedicare UPIN
U24222Medicare UPIN