Provider Demographics
NPI:1700943842
Name:HOFFMAN, RONALD Z (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:Z
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SOUTH DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4200
Mailing Address - Country:US
Mailing Address - Phone:650-967-1515
Mailing Address - Fax:650-967-3801
Practice Address - Street 1:305 SOUTH DR
Practice Address - Street 2:SUITE 5
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4200
Practice Address - Country:US
Practice Address - Phone:650-967-1515
Practice Address - Fax:650-967-3801
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG26970207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42997Medicare UPIN
CA00G263970Medicare ID - Type Unspecified