Healthcare Provider Details

I. General information

NPI: 1558844977
Provider Name (Legal Business Name): RACHEL L. HOFFMAN DNP, PHN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 E BROCKTON AVE
REDLANDS CA
92374-3611
US

IV. Provider business mailing address

1508 BROCKTON AVENUE, SUITE 511
REDLANDS CA
92373-1858
US

V. Phone/Fax

Practice location:
  • Phone: 909-328-1830
  • Fax: 909-328-1827
Mailing address:
  • Phone: 909-328-1828
  • Fax: 909-328-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95010001
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number679977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: