MEDICARE: LAWRENCE M HOPP MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G76028	CA

General Provider Information

NPI Number	:	1558539270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE M HOPP MD, INC

Provider Business Mailing Address
First Line	:	8641 WILSHIRE BLVD
Second Line	:	SUITE 312
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2921
Country	:	US
Telephone Number	:	310-275-7848
Fax Number	:

Provider Business Practice Location Address
First Line	:	8641 WILSHIRE BLVD
Second Line	:	SUITE 312
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2921
Country	:	US
Telephone Number	:	310-275-7848
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAWRENCE M HOPP
Credential	:	MD
Telephone Number	:	310-275-7848

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/15/2008

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