Provider Demographics
NPI:1407642275
Name:MADRIGAL, CINDHY JALITZA
Entity type:Individual
Prefix:
First Name:CINDHY
Middle Name:JALITZA
Last Name:MADRIGAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 NEWTON AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-1154
Mailing Address - Country:US
Mailing Address - Phone:510-599-1569
Mailing Address - Fax:
Practice Address - Street 1:455 NEWTON AVE APT 4
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1154
Practice Address - Country:US
Practice Address - Phone:510-599-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician