Renetta Lynnice Hatcher MD, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A063581 Issued in CA

Legal business name

RENETTA LYNNICE HATCHER MD, INC.

Practice address

15651 Imperial Hwy Ste 207
La Mirada, CA 90638-1653

Phone

(562) 902-8500

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Renetta L. Hatcher, MD

Title

Ceo / Owner

Phone

(562) 902-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Laverne Bradley, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1427106764
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1508025222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2278",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906322278",
            "telephone_number": "562-902-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 207",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381653",
            "telephone_number": "562-902-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENETTA LYNNICE HATCHER MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "RENETTA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "562-902-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A063581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Daniel Rascon
• Joseph Ravenna Jr., M.D.
• Rachna Rawal, MD
• Reynosa Reambonanza
• Red Sea Medical Imaging Inc
• Respironics Colorado, Inc
• Anthony Reyes Jr., M.D.
• Chong Hon Rha, D D S
• Minah Rhee, PHARM.D.
• Richard Perla PHD and Associates (New Directions)

• Surgery Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.