Basic Information
| Provider Information | |||||||||
| NPI: | 1962520080 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOOPES | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16918 DOVE CANYON RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921273445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373673966 | ||||||||
| FaxNumber: | 8586495099 | ||||||||
| Practice Location | |||||||||
| Address1: | 16918 DOVE CANYON RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921273445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373673966 | ||||||||
| FaxNumber: | 8586495099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 02/03/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | C128063 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | 092710 | OH | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | C128063 | 01 | CA | MEDICAL LICENSE | OTHER |