Provider Demographics
NPI:1750476073
Name:HOEFFLIN, JEFFREY D (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:HOEFFLIN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9301 WILSHIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-6100
Mailing Address - Country:US
Mailing Address - Phone:310-273-5100
Mailing Address - Fax:310-273-5101
Practice Address - Street 1:9301 WILSHIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6100
Practice Address - Country:US
Practice Address - Phone:310-273-5100
Practice Address - Fax:310-273-5101
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA741332086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA74133OtherMEDICAL LICENSE