Provider Demographics
NPI:1326211848
Name:C HINCHLIFFE INC
Entity type:Organization
Organization Name:C HINCHLIFFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HINCHLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-499-2707
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:92651-6764
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:92651-6764
Practice Address - Country:US
Practice Address - Phone:949-499-2707
Practice Address - Fax:949-499-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A442760Medicaid
CA00A442760Medicaid
CAA44276Medicare PIN