Healthcare Provider Details

I. General information

NPI: 1871821439
Provider Name (Legal Business Name): NATALIE HOFFMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 VIA MARINA 804
MARINA DEL REY CA
90292-6891
US

IV. Provider business mailing address

4444 VIA MARINA 804
MARINA DEL REY CA
90292-6891
US

V. Phone/Fax

Practice location:
  • Phone: 323-251-7985
  • Fax:
Mailing address:
  • Phone: 323-251-7985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP6379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: