Provider Demographics
NPI:1336131416
Name:HOHENSTEIN, ROBERT JOHN (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:HOHENSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 E BIRCH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6264
Mailing Address - Country:US
Mailing Address - Phone:714-528-9335
Mailing Address - Fax:714-528-9630
Practice Address - Street 1:3350 E BIRCH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-6264
Practice Address - Country:US
Practice Address - Phone:714-528-9335
Practice Address - Fax:714-528-9630
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9792103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP9792Medicare ID - Type Unspecified
CAR34399Medicare UPIN