Healthcare Provider Details

I. General information

NPI: 1457999062
Provider Name (Legal Business Name): SCOTT JEFFREY HOHMANN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40101 MONTEREY AVE
RANCHO MIRAGE CA
92270-3261
US

IV. Provider business mailing address

6358 GLEN AIRE AVE
RIVERSIDE CA
92506-5303
US

V. Phone/Fax

Practice location:
  • Phone: 760-674-4738
  • Fax:
Mailing address:
  • Phone: 951-906-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number81585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: