# TIMOTHY D HOOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629097399
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G55188 | CA | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | G55188 | CA | — |
| 208D00000X | General Practice Physician | G55188 | CA | Yes |
| 208VP0000X | Pain Medicine Physician | G55188 | CA | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 04/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZZ20686Z | — | CA |