Healthcare Provider Details

I. General information

NPI: 1225087968
Provider Name (Legal Business Name): ANGELIA HOFF OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE NHCP OPTOMETRY DEPT
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

200 MERCY CIRCLE NHCP OPTOMETRY DEPT
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-4822
  • Fax:
Mailing address:
  • Phone: 760-719-4822
  • Fax: 951-658-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: