Provider Demographics
NPI:1497868079
Name:HINTZ, BRACE LELAND (MD)
Entity Type:Individual
Prefix:
First Name:BRACE
Middle Name:LELAND
Last Name:HINTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4950 W SUNSET BLVD
Mailing Address - Street 2:2-B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5822
Mailing Address - Country:US
Mailing Address - Phone:323-783-2886
Mailing Address - Fax:323-783-5927
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:DEPARTMENT OF RADIATION ONCOLOGY
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-5605
Practice Address - Fax:562-826-5703
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2021-12-09
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Provider Licenses
StateLicense IDTaxonomies
CAG125722085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology