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KENNETH C. COOPER NPI 1093796039


NPI Information

NPI: 1093796039
Provider Name: KENNETH C. COOPER

Doing Business As: K C MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3760 MOTOR AVE
SUITE 214
LOS ANGELES, CA
ZIP 90034
Phone: (310) 733-4433
Get Directions

KENNETH C. COOPER is a durable medical equipment medical supplies in Los Angeles, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. KENNETH C. COOPER NPI is 1093796039. The provider is registered as an organization entity type.
The provider Is Doing Business As K C Medical.

The provider's business location address is:

3760 MOTOR AVE
SUITE 214
LOS ANGELES, CA
ZIP 90034-404
Phone: (310) 733-4433
Fax: (310) 733-4122

The provider's authorized official is Kenneth Charles Cooper .
The authorized official title is Owner and has the following contact phone number (310) 733-4433.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 10/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies100625CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11152050001MEDICARE ID-TYPE UNSPECIFIED
2D02294FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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