Healthcare Provider Details

I. General information

NPI: 1194523985
Provider Name (Legal Business Name): WILLIAM JAMES HOFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SARP CAMP PENDLETON H200 ROOSEVELT DR.
OCEANSIDE CA
92058
US

IV. Provider business mailing address

SARP CAMP PENDLETON H200 ROOSEVELT DR.
OCEANSIDE CA
92058
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-0063
  • Fax:
Mailing address:
  • Phone: 760-725-0063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: