Healthcare Provider Details

I. General information

NPI: 1780790931
Provider Name (Legal Business Name): LAWRENCE B HOOPER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E REMINGTON DR STE 20
SUNNYVALE CA
94087-2612
US

IV. Provider business mailing address

500 E REMINGTON DR STE 20
SUNNYVALE CA
94087-2612
US

V. Phone/Fax

Practice location:
  • Phone: 408-245-4048
  • Fax: 408-245-6131
Mailing address:
  • Phone: 408-245-4048
  • Fax: 408-245-6131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KERRY A HOOPER
Title or Position: CREDENTIALING MGR
Credential:
Phone: 408-245-4048