Provider Demographics
NPI:1215985353
Name:BENKERT, CYNTHIA J (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:BENKERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HAMNER AVENUE
Mailing Address - Street 2:STE. 100
Mailing Address - City:MIRA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:92860
Mailing Address - Country:US
Mailing Address - Phone:951-734-3272
Mailing Address - Fax:951-734-3267
Practice Address - Street 1:2200 HAMNER AVENUE
Practice Address - Street 2:STE. 100
Practice Address - City:MIRA LOMA
Practice Address - State:CA
Practice Address - Zip Code:92860
Practice Address - Country:US
Practice Address - Phone:951-734-3272
Practice Address - Fax:951-734-3267
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23209111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition