Individual
CHERYL HEIDI HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2910
(310) 802-0200
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G60886
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G60886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G60860
—
CA
Enumeration date
11/16/2005
Last updated
12/13/2019
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