Individual
AMY KOPLOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8900
Mailing address
PO BOX 2705-605, HUNTINGTON BEACH, CA 92647
(562) 809-3571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A55455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A554550
—
CA
Enumeration date
05/26/2006
Last updated
11/29/2021
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