# JEFFREY R HODGSON MD CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750818175
- **Authorized official:** DR. JEFFREY ROSS HODGSON MD (PRESIDENT)
- **Authorized official phone:** (312) 305-9378

## Contact information

- **Practice address:** 20100 QUARTZ MOUNTAIN RD, N, FIDDLETOWN, CA 95629
- **Practice address phone:** (209) 206-1177
- **Practice address fax:** (209) 206-1177
- **Mailing address:** PO BOX 2131, APTOS, CA 95001-2131
- **Mailing address phone:** (312) 305-9378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A100211 | CA | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 09/05/2024