Provider Demographics
NPI:1437320009
Name:HINGCO, LORENA BARRIOS (RPT)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:BARRIOS
Last Name:HINGCO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 S. KNOTT. AVE.
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804
Mailing Address - Country:US
Mailing Address - Phone:714-821-7310
Mailing Address - Fax:714-220-9556
Practice Address - Street 1:7212 ORANGETHORPE AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3341
Practice Address - Country:US
Practice Address - Phone:714-562-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2015-01-21
Deactivation Date:2008-09-30
Deactivation Code:
Reactivation Date:2015-01-13
Provider Licenses
StateLicense IDTaxonomies
CAPT34526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist