Individual provider · Type 1 NPI

Johnathan Charles Hodge

Student in an Organized Health Care Education/Training Program · Lincoln, CA

NPI number 1033090055 Active

Practice location

110 Gateway Dr Ste 210
Lincoln, CA 95648-3306

Call (916) 645-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033090055

Johnathan Charles Hodge's National Provider Identifier is 1033090055, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lincoln, CA. The record was last updated on Sep 8, 2025.