MEDICARE: CATHERINE LYNN HINCHLIFFE M.A.

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1821248972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE LYNN HINCHLIFFE M.A.

Provider Business Mailing Address
First Line	:	1891 EFFIE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1711
Country	:	US
Telephone Number	:	323-644-2000
Fax Number	:	323-666-1417

Provider Business Practice Location Address
First Line	:	621 S VIRGIL AVE
Second Line	:	#300
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4000
Country	:	US
Telephone Number	:	213-368-5400
Fax Number	:	213-368-5454

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

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	09/25/2008

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