Healthcare Provider Details

I. General information

NPI: 1700444874
Provider Name (Legal Business Name): SCOTT HOECKELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

IV. Provider business mailing address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

V. Phone/Fax

Practice location:
  • Phone: 858-499-2600
  • Fax: 619-568-8082
Mailing address:
  • Phone: 858-499-2600
  • Fax: 619-568-8082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA209605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: