1316095193 NPI number — RICHARD STEPHEN HOPE MD

Table of content: RICHARD STEPHEN HOPE MD (NPI 1316095193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316095193 NPI number — RICHARD STEPHEN HOPE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPE
Provider First Name:
RICHARD
Provider Middle Name:
STEPHEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUO
Provider Other First Name:
RICKY
Provider Other Middle Name:
SHIH-YUAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316095193
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 COPPERSTONE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSION VIEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92692-5940
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-207-6181
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19671 BEACH BLVD
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92648-5901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-842-0651
Provider Business Practice Location Address Fax Number:
714-475-6581
Provider Enumeration Date:
01/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  A62018 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A620180 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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