Provider Demographics
NPI:1831692243
Name:HODGKINS, JOSEPH VERNON ((RT)(R)(MR)(ARRT))
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:VERNON
Last Name:HODGKINS
Suffix:
Gender:M
Credentials:(RT)(R)(MR)(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48307 80TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-8733
Mailing Address - Country:US
Mailing Address - Phone:661-713-9110
Mailing Address - Fax:
Practice Address - Street 1:5901 E 7TH ST BLDG 165
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5073782085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology