Healthcare Provider Details

I. General information

NPI: 1306026901
Provider Name (Legal Business Name): CANDACE HORNEY SCHOPPE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CANDACE WAYNE HORNEY MD

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5570 OVERLAND AVE STE 101
SAN DIEGO CA
92123-1215
US

IV. Provider business mailing address

3212 HERITAGE CV
GRAPEVINE TX
76051-1104
US

V. Phone/Fax

Practice location:
  • Phone: 858-694-3091
  • Fax:
Mailing address:
  • Phone: 713-907-7594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number183621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: