Healthcare Provider Details

I. General information

NPI: 1063435741
Provider Name (Legal Business Name): THOMAS EDWARD HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/19/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HIGH ST
PALO ALTO CA
94301-1043
US

IV. Provider business mailing address

301 HIGH ST
PALO ALTO CA
94301-1043
US

V. Phone/Fax

Practice location:
  • Phone: 650-969-5600
  • Fax: 650-969-0360
Mailing address:
  • Phone: 650-969-5600
  • Fax: 650-969-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG20623
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberG20623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: