Provider Demographics
NPI:1831392794
Name:HOPKINS, MICHAEL Z (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:Z
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 S. ELENA AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277
Mailing Address - Country:US
Mailing Address - Phone:310-378-9241
Mailing Address - Fax:310-378-6693
Practice Address - Street 1:1706 S ELENA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5715
Practice Address - Country:US
Practice Address - Phone:310-378-9241
Practice Address - Fax:310-378-6693
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA325651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice