Cooper, Richelle Jody

Cooper, Richelle Jody is an individual health care provider with primary practice located at 757 Westwood Plz , Los Angeles CA 90095-3075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Cooper, Richelle Jody can be contacted via phone (310) 825-2111.

Contact Information

Primary practice address
757 Westwood Plz Los Angeles CA 90095-3075
Phone: (310) 825-2111
Fax: (310) 794-0599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A60074 California
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A60074 California

Profile Details

NPI number 1073547808
LBN Legal business name Cooper, Richelle Jody
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 13th, 2020 - about 4 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 1073547808 NPPES
California MEDICAID 00A600740

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