Provider Demographics
NPI:1538145362
Name:HLINKA, MICHAEL E (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:HLINKA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2190 LYNN RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1980
Mailing Address - Country:US
Mailing Address - Phone:805-495-8050
Mailing Address - Fax:805-496-2160
Practice Address - Street 1:215 WEST JANSS ROAD
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360
Practice Address - Country:US
Practice Address - Phone:805-497-2727
Practice Address - Fax:805-495-0023
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2011-02-09
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Provider Licenses
StateLicense IDTaxonomies
CAA788192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN