Provider Demographics
NPI:1104836402
Name:HOPNER, DAN D (MD)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:D
Last Name:HOPNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:340 DARDANELLI LN
Mailing Address - Street 2:SUITE 24
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1418
Mailing Address - Country:US
Mailing Address - Phone:408-378-8721
Mailing Address - Fax:408-429-8388
Practice Address - Street 1:340 DARDANELLI LN
Practice Address - Street 2:SUITE 24
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1418
Practice Address - Country:US
Practice Address - Phone:408-378-8648
Practice Address - Fax:408-378-9114
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2024-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363720Medicaid
A28060Medicare UPIN
CA00A363720Medicare PIN