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Organization
ROBERT KOPPANY, OD, A PROFESSIONAL CORP.
Active
Organization
ROBERT KOPPANY, OD, A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J KOPPANY O.D. (OPTOMETRIST)
(310) 679-5604
Entity
Organization
Contact information
Practice address
4840 W 123RD ST, HAWTHORNE, CA 90250-3514
(310) 679-5604
(310) 644-6796
Mailing address
4840 W 123RD ST, HAWTHORNE, CA 90250-3514
(310) 679-5604
(310) 644-6796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8523TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085230
—
CA
Enumeration date
12/18/2008
Last updated
01/07/2016
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