Healthcare Provider Details

I. General information

NPI: 1437518354
Provider Name (Legal Business Name): THOMAS HINTZ CRT,RPFT,RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 WESTWOOD BLVD #D
LOS ANGELES CA
90064-2181
US

IV. Provider business mailing address

2370 WESTWOOD BLVD #D
LOS ANGELES CA
90064-2181
US

V. Phone/Fax

Practice location:
  • Phone: 310-441-4640
  • Fax: 310-441-4641
Mailing address:
  • Phone: 310-441-4640
  • Fax: 310-441-4641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1006X
TaxonomyPulmonary Function Technologist Certified Respiratory Therapist
License Number3354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: