=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285854679
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CYE HOFFMAN PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2007
-----------------------------------------------------
Last Update Date | 09/02/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17350 W SUNSET BLVD 606C
-----------------------------------------------------
City | PACIFIC PALISADES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90272-4111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-454-6303
-----------------------------------------------------
Fax | 310-454-6345
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17350 W SUNSET BLVD 606C
-----------------------------------------------------
City | PACIFIC PALISADES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90272-4111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-454-6303
-----------------------------------------------------
Fax | 310-454-6345
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY6341
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------