Individual
DR. TINA BETH KOOPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13320 RIVERSIDE DR. #220, SHERMAN OAKS, CA 91423
(818) 986-1648
(818) 986-1653
Mailing address
13320 RIVERSIDE DR. #220, SHERMAN OAKS, CA 91423
(818) 986-1648
(818) 986-1653
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
G69869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P763329
OXFORD
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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