Cynthia Joy Cotharn
Internist Internist - Addiction Medicine
4325 Glencoe Ave. Unit 10552
Marina del Rey
, California 90292
Cynthia Joy Cotharn
Internist Internist - Addiction Medicine
4325 Glencoe Ave. Unit 10552
Marina del Rey
, California 90292
(310) 489-9985
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Cynthia Joy Cotharn
- 4325 Glencoe Ave. Unit 10552
- Marina Del Rey, CA
- Zip : 90292
- Phone : (310) 489-9985
Second Address
- Cynthia Joy Cotharn
- 4325 Glencoe Ave. Unit 10552
- Marina Del Rey, CA
- Zip : 90292
- Phone : (310) 489-9985
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Is Cynthia Joy Cotharn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | G82137 | CA |
| Y | 111NI0900X | Internist | G82137 | CA |
| N | 207RA0401X | Internist - Addiction Medicine | G82137 | CA |
National Provider Identifier
| NPI | 1669049805 |
|---|---|
| Provider Name | Cynthia Joy Cotharn |
| First Address | Marina Del Rey, CA 90292 |
| Second Address | Marina Del Rey, CA 90292 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.