Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A89842 | CA |
N | 208000000X | Pediatrician | A89842 | CA |
NPI | 1447454871 |
---|---|
Provider Name | Dr. Trevor Leroy Hoffman |
First Address | Anaheim, CA 92801-1900 |
Second Address | Anaheim, CA 92801-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 09/11/2021 |