Healthcare Provider Details

I. General information

NPI: 1275480238
Provider Name (Legal Business Name): JAMIE HOFFMAN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 AVENUE I
REDONDO BEACH CA
90277-5619
US

IV. Provider business mailing address

4821 LANKERSHIM BLVD STE F #2187
NORTH HOLLYWOOD CA
91601-4572
US

V. Phone/Fax

Practice location:
  • Phone: 650-279-3364
  • Fax:
Mailing address:
  • Phone: 650-279-3364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number159704
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: