1679106686 NPI number — PARKER HEARING INSTITUTE A PROFESSIONAL CORPRORATION

Table of content: MS. FAITH LOUISE HOFFMAN LCSW (NPI 1215944467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679106686 NPI number — PARKER HEARING INSTITUTE A PROFESSIONAL CORPRORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARKER HEARING INSTITUTE A PROFESSIONAL CORPRORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679106686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4201 TORRANCE BLVD STE 140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TORRANCE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90503-4500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-540-4327
Provider Business Mailing Address Fax Number:
310-316-2685

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4201 TORRANCE BLVD STE 140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90503-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-540-4327
Provider Business Practice Location Address Fax Number:
310-316-2685
Provider Enumeration Date:
02/18/2020

Additional Information

Authorized Official

Authorized Official Last Name:
HUTTINGER
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
CHRISTINE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
310-540-4327

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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