Provider Demographics
NPI:1053529818
Name:JOSEPH C. HOHL,INC
Entity type:Organization
Organization Name:JOSEPH C. HOHL,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:HOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-364-1088
Mailing Address - Street 1:5365 WALNUT AVE STE M
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2622
Mailing Address - Country:US
Mailing Address - Phone:909-364-1088
Mailing Address - Fax:909-364-1085
Practice Address - Street 1:5365 WALNUT AVE STE M
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2622
Practice Address - Country:US
Practice Address - Phone:909-364-1088
Practice Address - Fax:909-364-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG103580174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG103580Medicaid
CA00G103580Medicare ID - Type Unspecified
CAF22645Medicare UPIN