Individual
EMILY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4900 OVERLAND AVE, CULVER CITY, CA 90230-4289
(310) 936-8093
Mailing address
12955 SHORT AVE, LOS ANGELES, CA 90066-6442
(310) 936-8093
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17919
CA
225700000X
Massage Therapist
13088
CA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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