Provider Demographics
NPI:1275615833
Name:HOHL, JOSEPH C (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:HOHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:C
Other - Last Name:HOHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:150 E HOLT BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-1613
Mailing Address - Country:US
Mailing Address - Phone:909-458-1603
Mailing Address - Fax:909-986-2970
Practice Address - Street 1:150 E HOLT BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-1613
Practice Address - Country:US
Practice Address - Phone:909-458-1603
Practice Address - Fax:909-986-2970
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG103580207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG103580OtherCALIFORNIA MEDICAL LICENSE BOARD
CAG103580OtherCALIFORNIA MEDICAL LICENSE BOARD
CAG103580Medicare ID - Type Unspecified