Provider Demographics
NPI:1952356438
Name:HOPKINS, JANET JILL (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:JILL
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 WILSHIRE BLVD #1620
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3901
Mailing Address - Country:US
Mailing Address - Phone:213-483-8810
Mailing Address - Fax:213-481-1503
Practice Address - Street 1:1127 WILSHIRE BLVD #1620
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3901
Practice Address - Country:US
Practice Address - Phone:213-483-8810
Practice Address - Fax:213-481-1503
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51780207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW3452OtherMEDICARE PTAN
CA00C517800Medicaid
CAWC51780EMedicare PIN
CAI23839Medicare UPIN
CAWC51780DMedicare PIN
CAW3452OtherMEDICARE PTAN
CAWC51780CMedicare PIN