1497796155 NPI number — MRS. HEATHER JEAN HOPPING M.A.,CCC-A

Table of content: MRS. HEATHER JEAN HOPPING M.A.,CCC-A (NPI 1497796155)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497796155 NPI number — MRS. HEATHER JEAN HOPPING M.A.,CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPPING
Provider First Name:
HEATHER
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.,CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497796155
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12412 CHALLENDON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANCHO CUCAMONGA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91739-2418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-472-2252
Provider Business Mailing Address Fax Number:
951-736-8964

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
802 MAGNOLIA AVE SUITE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-333-9152
Provider Business Practice Location Address Fax Number:
763-268-4280
Provider Enumeration Date:
06/10/2006

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: 231H00000X , with the licence number:  AU2098 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231HA2400X , with the licence number: HA3931 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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