Search › California › 207Q00000X

Glenn Cooperman, MD

NPI 1679821979 · on the registry since 2012

Practice

Address
72780 Country Club Dr Ste 100
Rancho Mirage, CA 92270
Phone
(760) 773-9750
Fax
(760) 773-9294
Organisation at this address
Active Life, Llc
Jacome Medical Group
Jorge L. Eller, Md Inc
Ronald S. Levey, Md Inc
Farhad M Limonadi Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207VE0102X
2083P0901X
207VG0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California