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Individual

DAVID F. COONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
5837A UPLANDER WAY, CULVER CITY, CA 90230-6607
(310) 348-9090
(310) 348-9099
Mailing address
5837A UPLANDER WAY, CULVER CITY, CA 90230-6607
(310) 348-9090
(310) 348-9099

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO00939
CA
224P00000X
Prosthetist
CPO00939
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720396690
CA
Enumeration date
04/16/2019
Last updated
04/16/2019
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