Provider Demographics
NPI:1104130939
Name:ANGELA HOFFMAN DDS, INC
Entity type:Organization
Organization Name:ANGELA HOFFMAN DDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT INC
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-885-7230
Mailing Address - Street 1:9535 RESEDA BLVD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-6030
Mailing Address - Country:US
Mailing Address - Phone:818-885-7230
Mailing Address - Fax:818-885-7277
Practice Address - Street 1:9535 RESEDA BLVD
Practice Address - Street 2:SUITE 313
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-6030
Practice Address - Country:US
Practice Address - Phone:818-885-7230
Practice Address - Fax:818-885-7277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELA HOFFMAN DDS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-04
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty