Provider Type Icon

DR. KELLEY DEBORAH HODGKISS-HARLOW M.D. NPI 1164684056


NPI Information

NPI: 1164684056
Provider Name: DR. KELLEY DEBORAH HODGKISS-HARLOW, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
4647 ZION AVE
SAN DIEGO, CA
ZIP 92120
Phone: (619) 528-5512
Get Directions

DR. Kelley Deborah Hodgkiss-harlow, M.D. is a vascular surgery surgery in San Diego, CA with 20 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Kelley Deborah Hodgkiss-harlow, M.D. NPI is 1164684056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

4647 ZION AVE
SAN DIEGO, CA
ZIP 92120-507
Phone: (619) 528-5512

The NPI 1164684056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryA93677CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.