Healthcare Provider Details

I. General information

NPI: 1700943842
Provider Name (Legal Business Name): RONALD Z HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SOUTH DR SUITE 5
MOUNTAIN VIEW CA
94040-4200
US

IV. Provider business mailing address

305 SOUTH DR SUITE 5
MOUNTAIN VIEW CA
94040-4200
US

V. Phone/Fax

Practice location:
  • Phone: 650-967-1515
  • Fax: 650-967-3801
Mailing address:
  • Phone: 650-967-1515
  • Fax: 650-967-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberG26970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: