Provider Demographics
NPI:1245213503
Name:HOFFMAN, MARTIN DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:DEAN
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10535 HOSPITAL WAY
Mailing Address - Street 2:PHYSICAL MEDICINE AND REHABILITATION (117)
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655-4200
Mailing Address - Country:US
Mailing Address - Phone:916-825-9027
Mailing Address - Fax:916-825-9028
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:PHYSICAL MEDICINE AND REHABILITATION (117)
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-825-9027
Practice Address - Fax:916-825-9028
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG86934208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation