# JOANNA KOPACZ, MD INC.

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

## Provider details

- **NPI number:** 1851753701
- **Authorized official:** JOANNA KOPACZ MD (PRESIDENT)
- **Authorized official phone:** (949) 218-7251

## Contact information

- **Practice address:** 24411 HEALTH CENTER DR STE 560, LAGUNA HILLS, CA 92653-3687
- **Practice address phone:** (949) 218-7251
- **Mailing address:** PO BOX 29491, SAINT LOUIS, MO 63126-7491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2016
- **Last updated:** 02/02/2023