Individual
CHAD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 S HARBOR BLVD STE A, LA HABRA, CA 90631-7577
(714) 879-3400
(714) 441-1998
Mailing address
1400 S HARBOR BLVD STE A, LA HABRA, CA 90631-7577
(714) 879-3400
(714) 441-1998
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA17551
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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