Healthcare Provider Details
I. General information
NPI: 1285973719
Provider Name (Legal Business Name): ARTHUR MICHAEL HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/04/2013
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 BAYVIEW AVE
MILL VALLEY CA
94941-1826
US
IV. Provider business mailing address
30 BAYVIEW AVE
MILL VALLEY CA
94941-1826
US
V. Phone/Fax
- Phone: 415-388-6700
- Fax: 415-381-2316
- Phone: 415-388-6700
- Fax: 415-381-2316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | G18103 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: