Provider Demographics
NPI:1386037018
Name:SPEYER, CAMBRIA
Entity type:Individual
Prefix:
First Name:CAMBRIA
Middle Name:
Last Name:SPEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 W LUGONIA AVE
Mailing Address - Street 2:SUITE #230
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-9703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3889 W STETSON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-9686
Practice Address - Country:US
Practice Address - Phone:951-652-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14411174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist