Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A43842 | CA |
N | 2080P0210X | Pediatric Nephrologist | A043842 | CA |
NPI | 1265568364 |
---|---|
Provider Name | Dr. Cindy Blifeld |
First Address | Lompoc, CA 93436-7076 |
Second Address | Lompoc, CA 93436-7076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 09/10/2019 |