Organization
DARYL HOFFMAN RECONSTRUCTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL KRISTAN HOFFMAN M.D. (PRESIDENT)
(650) 325-1118
Entity
Organization
Contact information
Practice address
805 EL CAMINO REAL, SUITE A, PALO ALTO, CA 94301-2315
(650) 325-1118
(650) 321-8943
Mailing address
805 EL CAMINO REAL, SUITE A, PALO ALTO, CA 94301-2315
(650) 325-1118
(650) 325-5778
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G059181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G591811
BCBS
CA
01
—
G059181
MEDICAL LICENSE
CA
Enumeration date
01/02/2009
Last updated
09/08/2015
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