Healthcare Provider Details

I. General information

NPI: 1982789467
Provider Name (Legal Business Name): CATHERINE A. HOFFMAN MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1374 EAST ALLUVIAL AVENUE
FRESNO CA
93720-2608
US

IV. Provider business mailing address

1374 EAST ALLUVIAL AVENUE
FRESNO CA
93720-2608
US

V. Phone/Fax

Practice location:
  • Phone: 559-435-2130
  • Fax: 559-435-5728
Mailing address:
  • Phone: 559-435-2130
  • Fax: 559-435-5728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA061269
License Number StateCA

VIII. Authorized Official

Name: DR. CATHERINE ANNE HOFFMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 559-435-2130