| Cheryl Heidi Hoffman, MD | |
|
2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 | |
| (310) 802-0200 | |
| (310) 794-9035 |
| Full Name | Cheryl Heidi Hoffman |
|---|---|
| Gender | Female |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 2200 N Sepulveda Blvd, Manhattan Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528040508 | NPI | - | NPPES |
| 00G60860 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | G60886 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | G60886 (California) | Secondary |
| Entity Name | Martin Luther King Jr Community Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Heidi Hoffman, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Cheryl Heidi Hoffman, MD 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266-2910 Ph: (310) 802-0200 |
Dr. William V Glenn, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 112 The Strand, Manhattan Beach, CA 90266 Phone: 310-937-4594 | |
Donald Lewis Roback, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-802-0200 Fax: 310-794-9035 | |
Dr. Joseph Trammell Dixon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Palm Ave, Manhattan Beach, CA 90266 Phone: 952-595-1100 Fax: 612-294-4903 |