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Individual

DR. ERIK T. HOGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15025 INNOVATION DR, SAN DIEGO, CA 92128-3409
(858) 605-7969
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G72380
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G723800
CA
Enumeration date
08/31/2006
Last updated
06/25/2009
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