Provider Demographics
NPI:1255957825
Name:HODIGEN
Entity type:Organization
Organization Name:HODIGEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:H
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DO
Authorized Official - Phone:714-379-3086
Mailing Address - Street 1:13794 BEACH BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-379-3084
Mailing Address - Fax:714-379-3086
Practice Address - Street 1:13794 BEACH BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-379-3084
Practice Address - Fax:714-379-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory