Healthcare Provider Details

I. General information

NPI: 1780913186
Provider Name (Legal Business Name): KAREN HOFFMANN MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN BERDAN MS, PT

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 LAUREL CANYON BLVD STE 400
N HOLLYWOOD CA
91606-1564
US

IV. Provider business mailing address

2217 BRITTANY PARK RD
SANTA ROSA VALLEY CA
93012-9003
US

V. Phone/Fax

Practice location:
  • Phone: 818-763-0136
  • Fax: 818-763-3838
Mailing address:
  • Phone: 805-491-2815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT14396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: