Healthcare Provider Details

I. General information

NPI: 1528947074
Provider Name (Legal Business Name): CRYSTAL J HOFFMANN ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OLD RIVER RD
BAKERSFIELD CA
93311-8333
US

IV. Provider business mailing address

100 OLD RIVER RD
BAKERSFIELD CA
93311-8333
US

V. Phone/Fax

Practice location:
  • Phone: 661-855-7455
  • Fax: 559-334-3605
Mailing address:
  • Phone: 661-855-7455
  • Fax: 559-334-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: