Individual
DR. STEPHEN HART COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18399 VENTURA BLVD, #248, TARZANA, CA 91356
(818) 708-3600
(818) 708-1648
Mailing address
18399 VENTURA BLVD, #248, TARZANA, CA 91356
(818) 708-3600
(818) 708-1648
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A23523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A23523
—
CA
Enumeration date
10/05/2006
Last updated
07/08/2007
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