Basic Information
| Provider Information | |||||||||
| NPI: | 1598962102 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOFFLICH | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | LEIGH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8939 VILLA LA JOLLA DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586578000 | ||||||||
| FaxNumber: | 8586578558 | ||||||||
| Practice Location | |||||||||
| Address1: | 8939 VILLA LA JOLLA DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586578000 | ||||||||
| FaxNumber: | 8586578558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2007 | ||||||||
| LastUpdateDate: | 04/23/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 20A8966 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.