Individual
TATYANA KOPILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 BICENTENNIAL WAY FL 22, SANTA ROSA, CA 95403-2149
(707) 393-3321
Mailing address
400 WEST PUEBLO STREET, SANTA BARBARA COTTAGE HOSPITAL, SANTA BARBARA, CA 93104
(805) 569-7316
(805) 569-7317
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
159268
CA
Other
Enumeration date
07/12/2017
Last updated
09/08/2022
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