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Individual

DANE D. COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12400 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4750
(562) 967-2801
(562) 967-2804
Mailing address
8337 TELEGRAPH RD, SUITE 222, PICO RIVERA, CA 90660-4909
(562) 927-2999
(562) 927-2160

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A060056
CA
207R00000X
Internal Medicine Physician
Primary
AO60056
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OOA600560
CA
Enumeration date
12/05/2006
Last updated
06/23/2020
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