Provider Demographics
NPI:1962484519
Name:HODDE, ILDIKO J (MD)
Entity type:Individual
Prefix:DR
First Name:ILDIKO
Middle Name:J
Last Name:HODDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ILDIKO
Other - Middle Name:
Other - Last Name:JEKL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:318 N INDIAN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4611
Mailing Address - Country:US
Mailing Address - Phone:909-621-2050
Mailing Address - Fax:909-621-2045
Practice Address - Street 1:318 N INDIAN HILL BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4611
Practice Address - Country:US
Practice Address - Phone:909-621-2050
Practice Address - Fax:909-621-2045
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA890032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGB413AMedicare PIN
I32821Medicare UPIN