| Doctor Name: | MRS. LATANYA RENEE HINES |
| NPI Number: | 1194884171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | A65104 |
| Business Practice Address: | 301 S Fair Oaks Ave Ste 202 Pasadena, CA - 911052536 |
| Business Phone Number: | 6267935250 |
| Business Fax Number: | 6267935260 |
| Mailing Address: | 6033 S Garth Ave Ste 202, LOS ANGELES |
| State: | CA |
| Postal Code: | 900561515 |
| Phone Number: | 3106455045 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | A65104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |