Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | G32353 | CA |
NPI | 1306801352 |
---|---|
Provider Name | Dr. Clement Porter Hoffman |
First Address | La Jolla, CA 92037-7606 |
Second Address | La Jolla, CA 92037-7606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 02/02/2013 |