Healthcare Provider Details
I. General information
NPI: 1558662528
Provider Name (Legal Business Name): HOFFMAN CHIROPRACTIC HEALTH & HAPPINESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2010
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 S COAST HIGHWAY 101 STE A
ENCINITAS CA
92024-3552
US
IV. Provider business mailing address
590 RANCHO SANTA FE RD
ENCINITAS CA
92024-6540
US
V. Phone/Fax
- Phone: 760-487-8157
- Fax:
- Phone: 760-487-8157
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
IAN
HOFFMAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 760-487-8157