Healthcare Provider Details

I. General information

NPI: 1164597282
Provider Name (Legal Business Name): NINAH K. HOFMANN L.AC., DIPL.O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 HAYES ST MEZZANINE LEVEL
SAN FRANCISCO CA
94102-4421
US

IV. Provider business mailing address

364 HAYES ST MEZZANINE LEVEL
SAN FRANCISCO CA
94102-4421
US

V. Phone/Fax

Practice location:
  • Phone: 415-491-4340
  • Fax: 415-863-3130
Mailing address:
  • Phone: 415-491-4340
  • Fax: 415-863-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number10115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: