Cooper, Richard Mark

Cooper, Richard Mark is an sole proprietor health care provider with primary practice located at 7325 Medical Center Dr #304, West Hills CA 91307-1925. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Cooper, Richard Mark can be contacted via phone (818) 999-3200.

Contact Information

Primary practice address
7325 Medical Center Dr #304 West Hills CA 91307-1925
Phone: (818) 999-3200
Fax: (818) 884-4263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E2879 California

Profile Details

NPI number 1578531372
LBN Legal business name Cooper, Richard Mark
Credentials D.P.M., INC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Oct 11th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578531372 NPPES
California Other E2879 STATE LICENSE

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