Individual
DR. CHARLES ALVIN HOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1415 RIDGEBACK RD, CHULA VISTA, CA 91910-6932
(619) 656-3775
Mailing address
11815 CAMINITO SANUDO, SAN DIEGO, CA 92131-2103
(619) 656-3775
(858) 549-3146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
EB1138
CA
103TC0700X
Clinical Psychologist
PSY7029
CA
Other
Enumeration date
09/02/2005
Last updated
09/11/2025
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