Individual
GABRIEL HINTZSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, MOB SUITE 107, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
1601 BARTON RD, #28-12, REDLANDS, CA 92373-5306
(815) 762-4152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A12927
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
10/24/2013
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