Organization
ADVANCED DERMATOLOGY THOMAS J. HOFFMANN MD SURGICAL&MEDICAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES HOFFMANN M.D. (PRESIDENT)
(909) 496-9602
Entity
Organization
Contact information
Practice address
18145 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2210
(760) 240-7546
(760) 242-5599
Mailing address
29798 HAUN RD STE 204, MENIFEE, CA 92586-6541
(909) 496-9602
(760) 242-5599
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A89986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G551381
—
CA
Enumeration date
09/16/2006
Last updated
05/28/2020
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