Healthcare Provider Details

I. General information

NPI: 1548098619
Provider Name (Legal Business Name): CIAARA HOFFMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8433 FLIGHT AVE
CHINO CA
91708-9375
US

IV. Provider business mailing address

8433 FLIGHT AVE
CHINO CA
91708-9375
US

V. Phone/Fax

Practice location:
  • Phone: 909-217-5510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: