Healthcare Provider Details

I. General information

NPI: 1548224736
Provider Name (Legal Business Name): RICHARD H. HOFT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21840 NORMANDIE AVE SUITE 700
TORRANCE CA
90502-2047
US

IV. Provider business mailing address

21840 NORMANDIE AVE SUITE 700
TORRANCE CA
90502-2047
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-5189
  • Fax: 310-782-6786
Mailing address:
  • Phone: 310-222-5189
  • Fax: 310-782-6786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG50212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: