Organization
RENETTA LYNNICE HATCHER MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENETTA L. HATCHER MD (CEO / OWNER)
(562) 902-8500
Entity
Organization
Contact information
Practice address
15651 IMPERIAL HWY STE 207, LA MIRADA, CA 90638-1653
(562) 902-8500
Mailing address
PO BOX 2278, LA HABRA, CA 90632-2278
(562) 902-8500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A063581
CA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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