Carolyn Marie Kintz, OTR

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2247 Issued in CA

Practice address

2040 Pacific Coast Hwy
Suite S
Lomita, CA 90717-2660

Phone

(310) 257-6407

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265656540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VIA ESTRELLITA",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776449",
            "telephone_number": "310-375-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 PACIFIC COAST HWY",
            "address_2": "SUITE S",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172660",
            "telephone_number": "310-257-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZ",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Kim
• Jung Kyung Kim
• Sun Y Kim, DDS
• Tae Kim, L.AC
• You Joo Kim, L.AC.,PH.D.
• Gayle C Kirma, MSW, LCSW, BCD
• Lon Krock, M.D.
• Bona Sujin Kwak, RPH
• La Labs LLC
• Erin Lam, DDS

• Health Maintenance Organization in Lomita, CA
• Providers in Lomita, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.