Organization
THOMAS J COOPER JR MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J COOPER II MD (PHYSICIAN)
(562) 981-2900
Entity
Organization
Contact information
Practice address
14600 GOLDENWEST ST, SUITE A-105, WESTMINSTER, CA 92683-5201
(877) 509-0376
Mailing address
14600 GOLDENWEST ST, SUITE A-105, WESTMINSTER, CA 92683-5201
(877) 509-0376
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
A43084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A43084
LICENSE
CA
Enumeration date
12/28/2010
Last updated
03/24/2017
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