Individual
DR. JOANNA KOPACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24411 HEALTH CENTER DR STE 560, LAGUNA HILLS, CA 92653-3687
(949) 218-7251
Mailing address
PO BOX 29491, SAINT LOUIS, MO 63126-7491
(949) 218-7251
(949) 209-2669
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
262583
NY
207RI0200X
Infectious Disease Physician
Primary
A128174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A128174
STATE MEDICAL LICENSE
CA
Enumeration date
06/04/2008
Last updated
02/28/2024
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