Provider Demographics
NPI:1437518354
Name:HINTZ, THOMAS (CRT,RPFT,RCP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:HINTZ
Suffix:
Gender:M
Credentials:CRT,RPFT,RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 WESTWOOD BLVD
Mailing Address - Street 2:#D
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2181
Mailing Address - Country:US
Mailing Address - Phone:310-441-4640
Mailing Address - Fax:310-441-4641
Practice Address - Street 1:2370 WESTWOOD BLVD
Practice Address - Street 2:#D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2181
Practice Address - Country:US
Practice Address - Phone:310-441-4640
Practice Address - Fax:310-441-4641
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33542278P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function Technologist