Provider Demographics
NPI:1548759483
Name:HOFFMAN, LORENA VASQUEZ
Entity type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:VASQUEZ
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29222 RANCHO VIEJO RD STE 122
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1044
Mailing Address - Country:US
Mailing Address - Phone:949-429-6888
Mailing Address - Fax:949-429-6868
Practice Address - Street 1:29222 RANCHO VIEJO RD STE 122
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1044
Practice Address - Country:US
Practice Address - Phone:949-429-6888
Practice Address - Fax:949-429-6868
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health