Individual provider · NPI-1

Chad Cooper, P.A.

Physician Assistant, Surgical · La Habra, CA

NPI number1003839879
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003839879
Entity type
Individual (NPI-1)
Name
Chad Cooper
Credential
P.A.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalPA17551CAYes

Practice location

1400 S Harbor Blvd Ste A
La Habra, CA 90631-7577

Phone 714-879-3400 · Fax 714-441-1998

Mailing address

1400 S Harbor Blvd Ste A
La Habra, CA 90631-7577

Phone 714-879-3400 · Fax 714-441-1998

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