Individual
MR. MARK ANTHONY COOPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4800
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA62888
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/13/2022
Last updated
08/23/2023
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