Provider Demographics
NPI:1952819682
Name:HOPKINS, SUMMER YANEZ (LPT)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:YANEZ
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:YANEZ H
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPT
Mailing Address - Street 1:2710 GRAND AVE APT 48
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-4909
Mailing Address - Country:US
Mailing Address - Phone:619-212-2061
Mailing Address - Fax:
Practice Address - Street 1:3491 KURTZ ST STE 150
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4430
Practice Address - Country:US
Practice Address - Phone:619-692-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33897167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes167G00000XNursing Service ProvidersLicensed Psychiatric TechnicianGroup - Single Specialty