Provider Demographics
NPI:1134391105
Name:JOHN HODGKINSON, INC.
Entity type:Organization
Organization Name:JOHN HODGKINSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:FALABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-320-2133
Mailing Address - Street 1:40055 BOB HOPE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3937
Mailing Address - Country:US
Mailing Address - Phone:760-320-2133
Mailing Address - Fax:760-327-0495
Practice Address - Street 1:40055 BOB HOPE DR
Practice Address - Street 2:SUITE J
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3937
Practice Address - Country:US
Practice Address - Phone:760-320-2133
Practice Address - Fax:760-327-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26124156FX1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24739Medicare UPIN
CA00A261240Medicare PIN