# ALFRED J COPPOLA JR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194868760
- **Authorized official:** ALFRED J COPPOLA JR. M.D. (PRESIDENT)
- **Authorized official phone:** (661) 324-0500

## Contact information

- **Practice address:** 9300 STOCKDALE HWY STE 300, BAKERSFIELD, CA 93311-3611
- **Practice address phone:** (661) 664-2200
- **Mailing address:** PO BOX 2326, BAKERSFIELD, CA 93303-2326
- **Mailing address phone:** (661) 324-0500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G39988 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 10/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8735418 | — | CA |
