Healthcare Provider Details

I. General information

NPI: 1184806689
Provider Name (Legal Business Name): KLAUS D. HOFFMANN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 N FRESNO ST ST#105
FRESNO CA
93710-5282
US

IV. Provider business mailing address

6323 N FRESNO ST ST#105
FRESNO CA
93710-5282
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-0995
  • Fax: 559-431-0998
Mailing address:
  • Phone: 559-431-0995
  • Fax: 559-431-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA31069
License Number StateCA

VIII. Authorized Official

Name: DR. KLAUS DIETRICH HOFFMANN
Title or Position: SOLE PROPRIETER
Credential: M.D.
Phone: 559-431-0995