Individual provider · Type 1 NPI

Mark Anthony Cooper Jr.

Medical Physician Assistant · Los Angeles, CA

NPI number 1336894914 Active

Practice location

1731 E 120th St
Los Angeles, CA 90059-3051

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA62888 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1336894914

Mark Anthony Cooper Jr.'s National Provider Identifier is 1336894914, issued on Feb 13, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 23, 2023.