Molly Dee Cooper, | |
1600 Los Gamos Dr Ste 120, San Rafael, CA 94903-1807 | |
(415) 209-2444 | |
Not Available |
Full Name | Molly Dee Cooper |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1600 Los Gamos Dr Ste 120, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871260067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Molly Dee Cooper, 4000 Dyer Rd, Livermore, CA 94551-7489 Ph: (925) 819-6836 | Molly Dee Cooper, 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903-1807 Ph: (415) 209-2444 |
Valeria Gonzalez, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903 Phone: 415-444-7428 | |
Andrew Valla, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 750 Las Gallinas Ave, Suite 103, San Rafael, CA 94903 Phone: 415-492-8888 Fax: 415-492-8583 | |
Ana Martha Tejeda, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903 Phone: 415-209-2444 |