Kopacz, Joanna
Kopacz, Joanna is an sole proprietor health care provider with primary practice located at 24411 Health Center Dr Ste 560 , Laguna Hills CA 92653-3687. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Kopacz, Joanna can be contacted via phone (949) 218-7251.Contact Information
Primary practice address
24411 Health Center Dr Ste 560
Laguna Hills CA 92653-3687
Phone: (949) 218-7251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 262583 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | A128174 | California |
Profile Details
| NPI number | 1275792368 |
|---|---|
| LBN Legal business name | Kopacz, Joanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Feb 28th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275792368 | NPPES |
| California | Other | A128174 | STATE MEDICAL LICENSE |
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