Provider Demographics
NPI:1730701566
Name:HIRSCHFELD, RENEE ISABELLE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ISABELLE
Last Name:HIRSCHFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 BARNARD DR APT 236
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4017
Mailing Address - Country:US
Mailing Address - Phone:760-331-7486
Mailing Address - Fax:
Practice Address - Street 1:1050 N BROADWAY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-3044
Practice Address - Country:US
Practice Address - Phone:760-331-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist