Individual
MRS. TATIANA HOEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8722
Mailing address
1651 COLINA DR, GLENDALE, CA 91208-2641
(818) 331-4039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1937
CA
207R00000X
Internal Medicine Physician
1937
CA
208M00000X
Hospitalist Physician
Primary
191499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19792409
—
CA
Enumeration date
04/24/2020
Last updated
01/02/2025
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