Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A124203 | CA |
NPI | 1013261908 |
---|---|
Provider Name | Dr. Eric Alexander Hohn |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Santa Cruz, CA 95060-5218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2012 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124398235 | GROUP NPI (01) | CA |
6740500002 | MEDICARE GROUP PTAN (01) | CA |
A124203 | STATE LICENSE (01) | CA |
CA245861 | MEDICARE GROUP PTAN (01) | CA |
GB984Z | MEDICARE PIN (01) | CA |