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NPI Code Detail

MEDICARE: CARL HODGMAN

MEDICARE: CARL HODGMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1346364122
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL HODGMAN
Provider Business Mailing Address
First Line : 176 HOLSTON DR
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4531
Country : US
Telephone Number : 213-334-2555
Fax Number :
Provider Business Practice Location Address
First Line : 176 HOLSTON DR
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4531
Country : US
Telephone Number : 661-223-5411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 05/16/2025

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