Provider Demographics
NPI:1922476050
Name:HOPPE, DANIEL JOSHUA (MD, MED, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSHUA
Last Name:HOPPE
Suffix:
Gender:M
Credentials:MD, MED, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 BROADWAY ST
Mailing Address - Street 2:STANFORD UNIVERSITY DEPT OF ORTHOPAEDIC SURGERY
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3132
Mailing Address - Country:US
Mailing Address - Phone:650-721-7618
Mailing Address - Fax:
Practice Address - Street 1:450 BROADWAY ST
Practice Address - Street 2:STANFORD UNIVERSITY DEPT OF ORTHOPAEDIC SURGERY
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3132
Practice Address - Country:US
Practice Address - Phone:650-721-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-06
Last Update Date:2015-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132673284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA132673OtherCALIFORNIA MEDICAL LICENSE