Provider Demographics
NPI:1043550825
Name:HOPKINS, RICHARD LEE III (BA)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LEE
Last Name:HOPKINS
Suffix:III
Gender:M
Credentials:BA
Other - Prefix:
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Mailing Address - Street 1:2008 N GAREY AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2722
Mailing Address - Country:US
Mailing Address - Phone:951-623-6131
Mailing Address - Fax:951-687-3478
Practice Address - Street 1:1900 ROYALTY DR STE 280
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3009
Practice Address - Country:US
Practice Address - Phone:909-766-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner