Provider Demographics
NPI:1306189964
Name:HENDRICKS, LOUIE BARRINGTON (MD)
Entity Type:Individual
Prefix:MR
First Name:LOUIE
Middle Name:BARRINGTON
Last Name:HENDRICKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25101 THE OLD RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-2206
Mailing Address - Country:US
Mailing Address - Phone:661-230-8701
Mailing Address - Fax:626-628-0439
Practice Address - Street 1:25101 THE OLD RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91381-2206
Practice Address - Country:US
Practice Address - Phone:661-230-8701
Practice Address - Fax:626-628-0439
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA151513208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty