Organization Active NPI

Julie a Hodge MD a California Professional Medical Corporation

  • Dermatopathology Physician
  • Fullerton, CA
National Provider Identifier
1083801393
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A48399 Issued in CA
Legal business name
JULIE A HODGE MD A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Practice address
1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
Phone
(714) 526-7546
Fax
(714) 526-7547
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julie A. Hodge, M.D.
Title
President
Phone
(714) 526-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X A48399 CA Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116

Mailing address

1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
Phone (714) 526-7546

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1083801393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354116",
            "telephone_number": "714-526-7546",
            "fax_number": "714-526-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354116",
            "telephone_number": "714-526-7546",
            "fax_number": "714-526-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A HODGE MD A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-526-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A48399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.