Individual
MR. ANDREW HODGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6548 N WHITNEY AVE, FRESNO, CA 93710-4846
(858) 663-0849
Mailing address
6548 N WHITNEY AVE, FRESNO, CA 93710-4846
(858) 663-0849
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
41060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L320459
KAISER PERMANENTE
CA
Enumeration date
04/29/2014
Last updated
01/19/2022
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