Healthcare Provider Details

I. General information

NPI: 1396416020
Provider Name (Legal Business Name): JORDAN BENJAMIN HOPP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1426 FILLMORE ST STE 301
SAN FRANCISCO CA
94115-4164
US

IV. Provider business mailing address

2320 HASTE ST APT 9
BERKELEY CA
94704-2263
US

V. Phone/Fax

Practice location:
  • Phone: 415-437-3990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: