Doctor Name: | DR. STEPHEN FRANKLIN COOPER |
NPI Number: | 1922257575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | GFE30319 |
Business Practice Address: | 14567 Deervale Pl Sherman Oaks, CA - 914034612 |
Business Phone Number: | 8189956074 |
Business Fax Number: | 8187837989 |
Mailing Address: | 14567 Deervale Pl, SHERMAN OAKS |
State: | CA |
Postal Code: | 914034612 |
Phone Number: | 8189956074 |
Fax Number: | 8187837989 |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 09/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | GFE30319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |