Individual
GARY F HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1737
(562) 933-2000
(818) 587-2493
Mailing address
PO BOX 1490, LONG BEACH, CA 90801-1490
(888) 237-1803
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G64046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G640460
BLUE SHIELD
CA
05
—
00G640460
—
CA
01
—
P00026241
RAILROAD MEDICARE
CA
Enumeration date
05/25/2006
Last updated
11/01/2010
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