Provider Demographics
NPI:1104324862
Name:MICHAEL Z HOPKINS DDS, PC
Entity type:Organization
Organization Name:MICHAEL Z HOPKINS DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-995-3551
Mailing Address - Street 1:1706 S ELENA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5715
Mailing Address - Country:US
Mailing Address - Phone:310-378-9241
Mailing Address - Fax:
Practice Address - Street 1:1706 S ELENA AVE STE B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5715
Practice Address - Country:US
Practice Address - Phone:310-378-9241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental