Healthcare Provider Details

I. General information

NPI: 1417017591
Provider Name (Legal Business Name): ERCELL H HOFFMAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4034 E ELIZABETH ST
COMPTON CA
90221-4672
US

IV. Provider business mailing address

4034 E ELIZABETH ST
COMPTON CA
90221-4672
US

V. Phone/Fax

Practice location:
  • Phone: 310-631-5991
  • Fax:
Mailing address:
  • Phone: 310-631-5991
  • Fax: 310-631-6442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC39554
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: