Healthcare Provider Details

I. General information

NPI: 1134646565
Provider Name (Legal Business Name): SAVANNAH HOFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 W COLLEGE ST
LOS ANGELES CA
90012-1181
US

IV. Provider business mailing address

9400 BRIGHTON WAY STE 307
BEVERLY HILLS CA
90210-4710
US

V. Phone/Fax

Practice location:
  • Phone: 213-580-7278
  • Fax:
Mailing address:
  • Phone: 619-663-9897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76380
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: