Cooper Medical Group, LLC
General Practice in Chandler, AZ. Organization (NPI-2).
NPI number1871067744
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1871067744
- Entity type
- Organization (NPI-2)
- Legal business name
- Cooper Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2019
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
2815 E Ocotillo Rd Ste 4Chandler, AZ 85249-6040
Phone 480-781-2964 · Fax 480-926-2260
Mailing address
Po Box 6610Chandler, AZ 85246-6610
Phone 480-926-7800 · Fax 480-926-2260
Authorized official
Radman Rahiminejad
Owner
4809267800
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