Cooper, Gary Scott

Cooper, Gary Scott is an individual health care provider with primary practice located at 283 Madonna Rd Suite B, San Luis Obispo CA 93405-5432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cooper, Gary Scott can be contacted via phone (805) 549-8880.

Contact Information

Primary practice address
283 Madonna Rd Suite B San Luis Obispo CA 93405-5432
Phone: (805) 549-8880
Fax: (805) 549-8743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15219 California

Profile Details

NPI number 1598889735
LBN Legal business name Cooper, Gary Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 10th, 2007 - about 19 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 1598889735 NPPES
California Other PA15219 PA LICENSE

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