Provider Demographics
NPI:1316992449
Name:RINDERKNECHT, HEINI R (MD)
Entity type:Individual
Prefix:MR
First Name:HEINI
Middle Name:R
Last Name:RINDERKNECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:215 S HICKORY ST
Mailing Address - Street 2:#118
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4359
Mailing Address - Country:US
Mailing Address - Phone:760-432-6644
Mailing Address - Fax:760-739-8213
Practice Address - Street 1:215 S HICKORY ST
Practice Address - Street 2:#118
Practice Address - City:ESCINDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-432-6644
Practice Address - Fax:760-739-8213
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC31419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWC31419Medicare ID - Type Unspecified
A87493Medicare UPIN