| Doctor Name: | CAROLYN MARIE KINTZ |
| NPI Number: | 1265656540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 2247 |
| Business Practice Address: | 2040 Pacific Coast Hwy Suite S Lomita, CA - 907172660 |
| Business Phone Number: | 3102576407 |
| Business Fax Number: | |
| Mailing Address: | 108 Via Estrellita, REDONDO BEACH |
| State: | CA |
| Postal Code: | 902776449 |
| Phone Number: | 3103751454 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 2247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |