Healthcare Provider Details

I. General information

NPI: 1285689752
Provider Name (Legal Business Name): DONALD R. HOECHLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41870 GARSTIN DRIVE
BIG BEAR LAKE CA
92315-1649
US

IV. Provider business mailing address

2550 NORTH HOLLYWOOD WAY SUITE 209
BURBANK CA
91505-5019
US

V. Phone/Fax

Practice location:
  • Phone: 909-878-8201
  • Fax: 909-878-8286
Mailing address:
  • Phone: 818-557-0135
  • Fax: 818-557-1394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA33098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: