Provider Demographics
NPI:1154425742
Name:HOEFS, JOHN C (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:HOEFS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1150 MAIN ST
Mailing Address - Street 2:STE E
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6762
Mailing Address - Country:US
Mailing Address - Phone:949-748-7474
Mailing Address - Fax:949-272-5858
Practice Address - Street 1:16305 SAND CANYON AVE
Practice Address - Street 2:STE 220
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3784
Practice Address - Country:US
Practice Address - Phone:949-748-7474
Practice Address - Fax:949-272-5858
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2016-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA000000G26324207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG26324BMedicare PIN
CA593AMedicare PIN