Individual
CONISHA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 WESTWOOD PLZ STE C8-193, LOS ANGELES, CA 90024-5055
(973) 856-1304
Mailing address
760 WESTWOOD PLZ STE C8-193, LOS ANGELES, CA 90095-1832
(310) 794-7595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
FC9615999
CA
Other
Enumeration date
12/28/2016
Last updated
11/06/2021
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