MEDICARE: CHARLES H HINKIN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY13114	CA
2	103T00000X	Psychologist	PSY13114	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY131140	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1619900115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES H HINKIN PHD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 WESTWOOD PLZ # C8-747
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5055
Country	:	US
Telephone Number	:	310-268-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	03/31/2026

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Directions to “ CHARLES H HINKIN PHD” Practice Location

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