Search › California › 363AM0700X
Mark Cooper
NPI 1336894914 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1731 E 120th St
Los Angeles, CA 90059 - Phone
- (323) 563-4800
- Organisation at this address
- Charles Drew University Of Medicine & Science
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 338
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California