Healthcare Provider Details

I. General information

NPI: 1053423079
Provider Name (Legal Business Name): SIM C. HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 OSLO CIR STE F
BUENA PARK CA
90621-4673
US

IV. Provider business mailing address

6905 OSLO CIR STE F
BUENA PARK CA
90621-4673
US

V. Phone/Fax

Practice location:
  • Phone: 714-995-5400
  • Fax: 714-995-5254
Mailing address:
  • Phone: 714-995-5400
  • Fax: 714-995-5254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG43636
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: