MEDICARE: DR. DAVID D HOPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A39114	CA

General Provider Information

NPI Number	:	1417033036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID D HOPP M.D.

Provider Business Mailing Address
First Line	:	120 S SPALDING DR STE 236
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-1840
Country	:	US
Telephone Number	:	310-275-4446
Fax Number	:	310-275-3752

Provider Business Practice Location Address
First Line	:	120 S SPALDING DR STE 236
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-1830
Country	:	US
Telephone Number	:	310-275-4446
Fax Number	:	310-275-3752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	10/25/2011

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