Healthcare Provider Details

I. General information

NPI: 1275615833
Provider Name (Legal Business Name): JOSEPH C HOHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. JOSEPH C HOHL

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E HOLT BLVD 3RD FLOOR
ONTARIO CA
91761-1613
US

IV. Provider business mailing address

150 E HOLT BLVD 3RD FLOOR
ONTARIO CA
91761-1613
US

V. Phone/Fax

Practice location:
  • Phone: 909-458-1603
  • Fax: 909-986-2970
Mailing address:
  • Phone: 909-458-1603
  • Fax: 909-986-2970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG103580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: