MEDICARE: DR. SIM C. HOFFMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	G43636	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053423079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIM C. HOFFMAN M.D.

Provider Business Mailing Address
First Line	:	6905 OSLO CIR STE F
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-4673
Country	:	US
Telephone Number	:	714-995-5400
Fax Number	:	714-995-5254

Provider Business Practice Location Address
First Line	:	6905 OSLO CIR STE F
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-4673
Country	:	US
Telephone Number	:	714-995-5400
Fax Number	:	714-995-5254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/31/2025

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