Organization
SIM C. HOFFMAN, MD, INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIM C HOFFMAN M.D. (PRESIDENT)
(714) 995-5400
Entity
Organization
Contact information
Practice address
6800 LINCOLN AVE STE 100, BUENA PARK, CA 90620-4163
(714) 995-5400
(714) 995-5254
Mailing address
6800 LINCOLN AVE STE 100, BUENA PARK, CA 90620-4163
(714) 995-5400
(714) 995-5254
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
G43636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP017
MEDICARE IDTF NUMBER
CA
Enumeration date
06/18/2010
Last updated
06/18/2010
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