1710201421 NPI number — COPE HEALTH SOLUTIONS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710201421 NPI number — COPE HEALTH SOLUTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COPE HEALTH SOLUTIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710201421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 S FLOWER ST
Provider Second Line Business Mailing Address:
LOWMAN OUTPATIENT BUILDING, THIRD FLOOR
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90007-2629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-259-0245
Provider Business Mailing Address Fax Number:
213-259-0253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 S FLOWER ST
Provider Second Line Business Practice Location Address:
LOWMAN OUTPATIENT BUILDING, THIRD FLOOR
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90007-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-259-0245
Provider Business Practice Location Address Fax Number:
213-259-0253
Provider Enumeration Date:
03/24/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
ALLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
213-259-0245

Provider Taxonomy Codes

  • Taxonomy code: 261QR0208X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)