Individual
ANTONIO ALBERTO DIAZ COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5743 CORSA AVE STE 112, WESTLAKE VILLAGE, CA 91362-6441
(805) 790-5300
Mailing address
5743 CORSA AVE STE 112, WESTLAKE VILLAGE, CA 91362-6441
(805) 790-5300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95034612
CA
Other
Enumeration date
04/04/2025
Last updated
06/04/2026
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