<Unavail>

LBN: Kenneth C. Cooper
<Unavail> is an health care organization with primary practice located at 3760 Motor Ave Suite 214, Los Angeles CA 90034-6404. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Kenneth C. Cooper can be contacted via phone (310) 733-4433, or through Cooper, Kenneth Charles via phone (310) 733-4433.

Contact Information

Primary practice address
3760 Motor Ave Suite 214 Los Angeles CA 90034-6404
Phone: (310) 733-4433
Fax: (310) 733-4122
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Kenneth Charles
Phone: (310) 733-4433

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100625 California

Profile Details

NPI number 1093796039
LBN Legal business name Kenneth C. Cooper
DBA Doing business as <Unavail>
Authorized official Cooper, Kenneth Charles
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 15th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093796039 NPPES
California MEDICAID D02294F

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