Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4106 | CA |
NPI | 1023011459 |
---|---|
Provider Name | Dr. Anthony R Hoffman |
First Address | Oakland, CA 94609-3305 |
Second Address | Oakland, CA 94609-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E41060 | (05) | CA |
000E41061 | (05) | CA |
E4106 | STATE OF CA LICENSE (01) | CA |
U69339 | (02) | CA |