Provider Demographics
NPI:1891917126
Name:ANDERSON, CYNTHIA SAKAMOTO (NP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SAKAMOTO
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23141 MOULTON PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1204
Mailing Address - Country:US
Mailing Address - Phone:949-516-0606
Mailing Address - Fax:949-516-9696
Practice Address - Street 1:23141 MOULTON PKWY STE 204
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1204
Practice Address - Country:US
Practice Address - Phone:949-516-0606
Practice Address - Fax:949-516-9696
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606541363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health