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NPI Code Detail

MEDICARE: DAWN MARIE HOFFMANN

MEDICARE: DAWN MARIE HOFFMANN
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
1175T00000XPeer Specialist
2225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1619858420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN MARIE HOFFMANN
Provider Business Mailing Address
First Line : 2085 RUSTIN AVE STE 1
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2498
Country : US
Telephone Number : 951-955-7320
Fax Number :
Provider Business Practice Location Address
First Line : 2085 RUSTIN AVE STE 1
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2498
Country : US
Telephone Number : 951-955-7320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2025
Last Update Date : 04/07/2026

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Directions to “ DAWN MARIE HOFFMANN ” Practice Location

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