Healthcare Provider Details

I. General information

NPI: 1790015881
Provider Name (Legal Business Name): CAREN T. HOFFMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST STE 510E
LOS ANGELES CA
90048-5938
US

IV. Provider business mailing address

8631 W 3RD ST STE 510E
LOS ANGELES CA
90048-5938
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-3380
  • Fax:
Mailing address:
  • Phone: 310-385-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA130960
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberBP10034436
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: