Jeffrey Scott Kopstein, D.o., A Professional Corporation | |
310 Southridge Dr Oak Park CA 91377-3842 | |
(818) 437-1588 | |
Not Available |
Full Name | Jeffrey Scott Kopstein, D.o., A Professional Corporation |
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Speciality | Clinic/Center |
Location | 310 Southridge Dr, Oak Park, California |
Authorized Official Name and Position | Jeffrey Scott Kopstein (PRESIDENT) |
Authorized Official Contact | 8184371588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jeffrey Scott Kopstein, D.o., A Professional Corporation 310 Southridge Dr Oak Park CA 91377-3842 Ph: (818) 437-1588 | Jeffrey Scott Kopstein, D.o., A Professional Corporation 310 Southridge Dr Oak Park CA 91377-3842 Ph: (818) 437-1588 |
NPI Number | 1417691411 |
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Provider Enumeration Date | 04/25/2022 |
Last Update Date | 04/25/2022 |
Medicare PECOS PAC ID | 4688052616 |
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Medicare Enrollment ID | O20220603001415 |
Identifier | Type | State | Issuer |
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1417691411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeffrey S Kopstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487041158 PECOS PAC ID: 0446507347 Enrollment ID: I20180724002108 |
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