Individual
ELIZABETH KOPRUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(651) 373-6604
Mailing address
2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(651) 373-6604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
02/27/2023
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