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Individual

RISA MICHELLE HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 MEDICAL PLZ, SUITE 365 B, LOS ANGELES, CA 90095-0001
(310) 206-7663
(310) 825-3632
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85173
CA
207RI0200X
Infectious Disease Physician
Primary
A85173
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A851730
CA
Enumeration date
08/20/2008
Last updated
12/30/2008
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