Provider Demographics
NPI:1164597282
Name:HOFMANN, NINAH K (LAC, DIPLOM)
Entity Type:Individual
Prefix:
First Name:NINAH
Middle Name:K
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 HAYES ST
Mailing Address - Street 2:MEZZANINE LEVEL
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4421
Mailing Address - Country:US
Mailing Address - Phone:415-491-4340
Mailing Address - Fax:415-863-3130
Practice Address - Street 1:364 HAYES ST
Practice Address - Street 2:MEZZANINE LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4421
Practice Address - Country:US
Practice Address - Phone:415-491-4340
Practice Address - Fax:415-863-3130
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10115171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist