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Individual
THEODORE HOFFMAN
Active
Individual
THEODORE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A24849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810837378
PHCS
CA
05
—
00A248490
—
CA
01
—
24101
INTERPLAN
CA
01
—
3835
FIRST HEALTH
CA
01
—
426748
GREAT WEST
CA
01
—
5180106
AETNA
CA
01
—
5717779
FIRST HEALTH
CA
01
—
90099280
PACIFICARE
CA
01
—
A24849
BLUE CROSS
CA
01
—
MCMG379500
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
12/05/2006
Last updated
02/17/2012
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