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NPI Code Detail

MEDICARE: MS. ELIZABETH ANN HOFFMAN M.S., R.D.N

MEDICARE: MS. ELIZABETH ANN HOFFMAN M.S., R.D.N
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian721882MN
2133V00000XRegistered Dietitian721882CA

General Provider Information

NPI Number : 1053432369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANN HOFFMAN M.S., R.D.N
Provider Business Mailing Address
First Line : 1308 LUCERNE CT
Second Line :
City : VENTURA
State : CA
Zip : 93004-2712
Country : US
Telephone Number : 805-813-1021
Fax Number :
Provider Business Practice Location Address
First Line : 400 MOBIL AVE STE D9
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-6376
Country : US
Telephone Number : 805-738-5700
Fax Number : 805-738-5701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/02/2024

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