Individual
DR. NICHOLAS TAYLOR HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A158898
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A158898
CA
207RP1001X
Pulmonary Disease Physician
Primary
A158898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A158898
CA MEDICAL LICENSE
CA
Enumeration date
04/04/2017
Last updated
05/29/2024
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