Individual
MR. FORREST GLON HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 270-4388
(619) 937-3767
Mailing address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 270-4388
(619) 937-3767
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95013348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95013348
NURSE PRACTITIONER/FURNISHING NUMBER
CA
Enumeration date
10/15/2020
Last updated
11/04/2020
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