Provider Demographics
NPI:1417033036
Name:HOPP, DAVID D (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:HOPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S SPALDING DR STE 236
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1840
Mailing Address - Country:US
Mailing Address - Phone:310-275-4446
Mailing Address - Fax:310-275-3752
Practice Address - Street 1:120 S SPALDING DR STE 236
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1830
Practice Address - Country:US
Practice Address - Phone:310-275-4446
Practice Address - Fax:310-275-3752
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39114174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA85241Medicare UPIN
CAA39114AMedicare UPIN