Individual
DIANA L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
11303 W WASHINGTON BLVD, 2 FLOOR, LOS ANGELES, CA 90066-6003
(310) 482-6600
(310) 313-0813
Mailing address
11303 W WASHINGTON BLVD, 2 FLOOR, LOS ANGELES, CA 90066-6003
(310) 482-6600
(310) 313-0813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60216842
WA
Other
Enumeration date
09/27/2011
Last updated
09/30/2015
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