Organization
BRETT LEHOCKY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LEHOCKY MD (PRESIDENT)
(909) 856-7913
Entity
Organization
Contact information
Practice address
450 MONTE VISTA DR, SANTA PAULA, CA 93060-1662
(909) 856-7913
Mailing address
450 MONTE VISTA DR, SANTA PAULA, CA 93060-1662
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G85350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G853500
—
CA
Enumeration date
01/07/2007
Last updated
08/22/2020
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