Provider Demographics
NPI:1912391756
Name:HOCHHEIMER, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HOCHHEIMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4192 MOUNT ALIFAN PL
Mailing Address - Street 2:UNIT F
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2859
Mailing Address - Country:US
Mailing Address - Phone:910-599-3379
Mailing Address - Fax:
Practice Address - Street 1:HM1 JAMES HOCHHEIMER USS JASON DUNHAM (DDG 109)
Practice Address - Street 2:UNIT 100336 BOX 1702
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09567
Practice Address - Country:US
Practice Address - Phone:757-445-6115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD74341551710I1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman