Healthcare Provider Details

I. General information

NPI: 1538351705
Provider Name (Legal Business Name): TAWNYA IRENE HOFFMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAWNYA IRENE MORRIS PA-C

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16911 WILLOW GLEN ROAD
BROWNSVILLE CA
95919-0609
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 530-675-0466
  • Fax: 530-675-0530
Mailing address:
  • Phone: 800-470-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA19295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: