Healthcare Provider Details

I. General information

NPI: 1326955683
Provider Name (Legal Business Name): EMILY HOPKINS SCHUCK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY HOPKINS FNP-C

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FALLS CANYON RD
AVALON CA
90704-2990
US

IV. Provider business mailing address

100 FALLS CANYON RD # 1563
AVALON CA
90704-2990
US

V. Phone/Fax

Practice location:
  • Phone: 310-510-0096
  • Fax: 310-510-2938
Mailing address:
  • Phone: 310-510-0096
  • Fax: 310-510-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: