Individual
ANTHONY LOUIS COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 W. HENDERSON AVE., PORTERVILLE, CA 93257
(559) 788-1200
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G72031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G720310
—
CA
Enumeration date
03/16/2006
Last updated
09/23/2022
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