Healthcare Provider Details

I. General information

NPI: 1285854679
Provider Name (Legal Business Name): CYE HOFFMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17350 W SUNSET BLVD 606C
PACIFIC PALISADES CA
90272-4111
US

IV. Provider business mailing address

17350 W SUNSET BLVD 606C
PACIFIC PALISADES CA
90272-4111
US

V. Phone/Fax

Practice location:
  • Phone: 310-454-6303
  • Fax: 310-454-6345
Mailing address:
  • Phone: 310-454-6303
  • Fax: 310-454-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY6341
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: