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Organization

RICHARD M. COOPER, D.P.M., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD M COOPER D.P.M. (OWNER)
(818) 999-3200
Entity
Organization

Contact information

Practice address
7325 MEDICAL CENTER DR, SUITE #304, WEST HILLS, CA 91307-1925
(818) 999-3200
Mailing address
7325 MEDICAL CENTER DR, SUITE #304, WEST HILLS, CA 91307-1925

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2879
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E2879
STATE LICENSE
CA
Enumeration date
10/11/2007
Last updated
10/11/2007
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