MATTHEW DAVID COOPER NPI 1043087224

NPI Information

NPI: 1043087224
Provider Name: MATTHEW DAVID COOPER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3185 BEBAS LN
SAN DIEGO, CA
ZIP 92123
Phone: (216) 482-0382
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Matthew David Cooper is a family nurse practitioner in San Diego, CA. Matthew David Cooper NPI is 1043087224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3185 BEBAS LN
SAN DIEGO, CA
ZIP 92123-046
Phone: (216) 482-0382

The enumeration date for this NPI number is 12/7/2023 and was last updated on 12/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95028254	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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