Healthcare Provider Details

I. General information

NPI: 1033906821
Provider Name (Legal Business Name): CASSANDRA AILEEN HOPKINS PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA AILEEN HOPKINS PPS

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 TELEGRAPH RD
VENTURA CA
93003-4204
US

IV. Provider business mailing address

1138 NORWOOD CT
VENTURA CA
93004-2452
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-1826
  • Fax:
Mailing address:
  • Phone: 805-766-7306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: