Provider Demographics
NPI:1760977102
Name:HOFFMANN AUDIOLOGY CORPORATION
Entity Type:Organization
Organization Name:HOFFMANN AUDIOLOGY CORPORATION
Other - Org Name:HOFFMANN AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:949-536-5180
Mailing Address - Street 1:4920 BARRANCA PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4672
Mailing Address - Country:US
Mailing Address - Phone:949-536-5180
Mailing Address - Fax:949-932-0412
Practice Address - Street 1:4920 BARRANCA PKWY STE D
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4672
Practice Address - Country:US
Practice Address - Phone:949-536-5180
Practice Address - Fax:949-932-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2373231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty