Individual
ELIZABETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 GARDEN VIEW CT STE 201, ENCINITAS, CA 92024-2481
(760) 634-3376
Mailing address
781 GARDEN VIEW CT STE 201, ENCINITAS, CA 92024-2481
(760) 634-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A183425
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2019
Last updated
08/29/2023
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