Provider Demographics
NPI:1619071867
Name:HINCHLIFFE, CHERIE ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:ELAINE
Last Name:HINCHLIFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31852 COAST HWY
Mailing Address - Street 2:#400
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651
Mailing Address - Country:US
Mailing Address - Phone:949-499-2707
Mailing Address - Fax:949-499-2067
Practice Address - Street 1:31852 COAST HWY
Practice Address - Street 2:#400
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651
Practice Address - Country:US
Practice Address - Phone:949-499-2707
Practice Address - Fax:949-499-2067
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA044276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A442760Medicaid
BH1298151Medicare UPIN
CAA44276Medicare ID - Type Unspecified