Healthcare Provider Details
I. General information
NPI: 1760977102
Provider Name (Legal Business Name): HOFFMANN AUDIOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2018
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4920 BARRANCA PKWY STE D
IRVINE CA
92604-4672
US
IV. Provider business mailing address
4920 BARRANCA PKWY STE D
IRVINE CA
92604-4672
US
V. Phone/Fax
- Phone: 949-536-5180
- Fax: 949-932-0412
- Phone: 949-536-5180
- Fax: 949-932-0412
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AU2373 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AU2373 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
CHRIS
LIN
HOFFMANN
Title or Position: PRESIDENT
Credential: AUD
Phone: 949-536-5180