Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | G54598 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G54598 | CA |
NPI | 1629059779 |
---|---|
Provider Name | Peter M Hoagland |
First Address | San Diego, CA 92123-4203 |
Second Address | San Diego, CA 92123-4233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G545980 | (05) | CA |
A52749 | (02) | CA |