Provider Demographics
NPI:1043647241
Name:CHRISTINE D COLLINS APC& ANN HOFSTADTER MD INC MED PSHIP
Entity Type:Organization
Organization Name:CHRISTINE D COLLINS APC& ANN HOFSTADTER MD INC MED PSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFSTADTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-598-1825
Mailing Address - Street 1:1351 WESTWOOD BLVD # 122
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4940
Mailing Address - Country:US
Mailing Address - Phone:310-598-1825
Mailing Address - Fax:
Practice Address - Street 1:1351 WESTWOOD BLVD # 122
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4940
Practice Address - Country:US
Practice Address - Phone:310-598-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA052890207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty