Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 38279 | CA |
Y | 213ES0000X | Sports Medicine | 38279 | CA |
N | 225100000X | Physical Therapist | QA01144500 | NJ |
NPI | 1396808747 |
---|---|
Provider Name | Dr. Douglas James Hoogendyk |
First Address | Mountain View, CA 94043-4027 |
Second Address | Mountain View, CA 94043-4027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 05/10/2021 |