Individual
DR. TIMOTHY MARK JOCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42600 MIRAGE RD, BLDG A1, RANCHO MIRAGE, CA 92270-4127
(760) 416-6971
(760) 318-8103
Mailing address
42600 MIRAGE RD BLDG A1, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
(760) 318-8103
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A70216
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A70216
CA
207NS0135X
Procedural Dermatology Physician
Primary
A70216
CA
Other
Enumeration date
03/15/2007
Last updated
09/09/2020
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