Individual
DR. RICHARD MARK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., INC.
Contact information
Practice address
7325 MEDICAL CENTER DR, #304, WEST HILLS, CA 91307-1925
(818) 999-3200
(818) 884-4263
Mailing address
7325 MEDICAL CENTER DR, #304, WEST HILLS, CA 91307-1925
(818) 999-3200
(818) 884-4263
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2879
STATE LICENSE
CA
Enumeration date
03/09/2006
Last updated
10/11/2007
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