Individual
DR. JANET RUTH MEDENWALD HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STEP UP ON SECOND; 600 N. ARROWHEAD AVE, SUITE 200, SAN BERNARDINO, CA 92401-1152
(909) 963-5355
(909) 453-3205
Mailing address
18555 AVENIDA ESCALERA, MURRIETA, CA 92562-8611
(831) 346-8236
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G58422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G584220
—
CA
05
—
BP973
—
CA
01
—
G58422
MEDICAL LICENSE #
CA
01
—
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID#
CA
Enumeration date
10/18/2006
Last updated
03/07/2023
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