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NPI Code Detail

MEDICARE: MS. KIM THI NGUYEN HOFFMAN LCSW

MEDICARE: MS. KIM THI NGUYEN HOFFMAN LCSW
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
11041C0700XClinical Social WorkerLCS #15206CA

General Provider Information

NPI Number : 1568544625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIM THI NGUYEN HOFFMAN LCSW
Provider Business Mailing Address
First Line : 720 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-2505
Country : US
Telephone Number : 415-392-4453
Fax Number : 415-433-0953
Provider Business Practice Location Address
First Line : 720 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-2505
Country : US
Telephone Number : 415-392-4453
Fax Number : 415-433-0953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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