# LAWRENCE M. KOPLIN, MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1962643528
- **Authorized official:** LAWRENCE M. KOPLIN MD (OWNER)
- **Authorized official phone:** (310) 277-3223

## Contact information

- **Practice address:** 465 N ROXBURY DR, STE. 802, BEVERLY HILLS, CA 90210-4206
- **Practice address phone:** (310) 277-3223
- **Mailing address:** 11999 SAN VICENTE BLVD, \#440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 471-5852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 01/25/2011