Individual
MR. MICHAEL LEWIS COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
6927 BROCKTON AVE STE 2A, RIVERSIDE, CA 92506-3807
(951) 500-6745
Mailing address
29645 RANCHO CALIFORNIA RD STE 213, TEMECULA, CA 92591-5285
(951) 506-8453
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03339
—
224P00000X
Prosthetist
Primary
CPO03339
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO03339
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS
—
Enumeration date
07/17/2018
Last updated
07/17/2018
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