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Individual

JOANNA A COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2850 TELEGRAPH AVE STE 110, BERKELEY, CA 94705
(510) 204-8140
(510) 506-7721
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8140
(510) 506-7721

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A35454
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A35454
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A35454
STATE MEDICAL LICENSE
CA
Enumeration date
08/21/2006
Last updated
01/20/2021
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