Individual
MICHAEL NEWTON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER SUITE A7D, LOS ANGELES, CA 90033
(323) 442-7903
Mailing address
3949 CHAPMAN CT, ALTADENA, CA 91001-3873
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
PTL5072
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
01/07/2021
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