Search › California › 111N00000X
Russ Cooper
NPI 1801286794 · on the registry since 2015 · sole proprietor
Practice
- Address
- 560 Masonic Way
Belmont, CA 94002 - Phone
- (650) 810-5929
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-29
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