Healthcare Provider Details

I. General information

NPI: 1871761387
Provider Name (Legal Business Name): MR. NOEL EDWARD HOFFMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 01/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24352 ROCKFIELD BLVD
LAKE FOREST CA
92630-4742
US

IV. Provider business mailing address

FILE #55745
LOS ANGELES CA
90074-5745
US

V. Phone/Fax

Practice location:
  • Phone: 949-461-0166
  • Fax: 949-461-0197
Mailing address:
  • Phone: 949-461-0166
  • Fax: 949-461-0197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA7340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: