Individual
DONNA L HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1285 S STATE ST, HEMET, CA 92543-7976
(951) 765-1777
(866) 390-9161
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30670
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C130260
STATE LICENSE
CA
Enumeration date
09/01/2005
Last updated
12/29/2016
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