Individual
DR. THOMAS J HOFFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18095 US HIGHWAY 18, SUITE D, APPLE VALLEY, CA 92307-2189
(760) 242-7546
(760) 242-5599
Mailing address
18095 US HIGHWAY 18, SUITE D, APPLE VALLEY, CA 92307-2189
(760) 242-7546
(760) 242-5599
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G55138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G551381
—
CA
01
—
00G551383
MEDICARE PTAN
CA
Enumeration date
06/06/2006
Last updated
07/31/2014
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