Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1020 | CA |
N | 175F00000X | Naturopath | NT1359 | WA |
NPI | 1104958115 |
---|---|
Provider Name | Dr. Justin Hoffman |
First Address | Encinitas, CA 92024-3213 |
Second Address | Encinitas, CA 92024-3213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 23/10/2018 |