# THEODORE HOFFMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982762787
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A24849 | CA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 02/17/2012

## 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 |