Provider Demographics
NPI:1336251693
Name:HOFFMANN, VICTORINA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORINA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 MARKET PL STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4749
Mailing Address - Country:US
Mailing Address - Phone:925-866-8800
Mailing Address - Fax:925-866-8802
Practice Address - Street 1:1081 MARKET PL STE 200
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4749
Practice Address - Country:US
Practice Address - Phone:925-866-8800
Practice Address - Fax:925-866-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44547207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine