Healthcare Provider Details

I. General information

NPI: 1982939799
Provider Name (Legal Business Name): ERIKA HOFFMASTER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E MICHELTORENA ST APT 2
SANTA BARBARA CA
93101-1131
US

IV. Provider business mailing address

71 MEDINAH DR
READING PA
19607-3398
US

V. Phone/Fax

Practice location:
  • Phone: 484-459-8512
  • Fax:
Mailing address:
  • Phone: 484-459-8512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number007512-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003171
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: