DR KEN COOPER'S COOPERSTOWN CHIROPRACTIC, INC. (NPI# 1912449323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912449323 |
| Entity Type | Organization |
| Organization Name | DR KEN COOPER'S COOPERSTOWN CHIROPRACTIC, INC. |
| Practice Address |
680 Langsdorf Dr Ste 180 Fullerton CA 92831-3702 |
| Mailing Address |
15520 Rockfield Blvd Ste A200 Irvine CA 92618-6705 |
| Practice Telephone | 7145258700 |
| Mailing Telephone | 9495989999 |
| Mailing Fax Number | 9495989990 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | KENNETH COOPER (OWNER/PROVIDER) |
| Authorized Official Telephone | 7145258700 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC21278 | CA | Chiropractic Providers |
| Street Address |
680 LANGSDORF DR STE 180 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379624 | Armand Taylor Contreras | Chiropractor | 115 S Harbor Blvd, Fullerton, CA 92832-1827 | 2020-02-25 |
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1952889099 | Simone Janae Jordan | Chiropractor | 141 S Yale Ave Apt 4, Fullerton, CA 92831-4554 | 2018-07-31 |
| 1689166555 | Leslie Vich | Chiropractor | 2683 Milton Ave, Fullerton, CA 92831-1472 | 2018-06-05 |
| 1730570474 | Steve Jo | Chiropractor | 817 W Wilshire Ave, Fullerton, CA 92832-1649 | 2015-02-17 |
| 1881090843 | Mandana Miramadi | Chiropractor | 2501 E Chapman Ave Ste 107, Fullerton, CA 92831-3132 | 2014-11-18 |
| 1417379223 | Elissa Heath | Chiropractor | 2751 E. Chapman Ave., Suite 109, Fullerton, CA 92831-3710 | 2014-01-13 |
| 1013258169 | Meghan Elizabeth Miller | Chiropractor | 1235 N Harbor Blvd Ste 111, Fullerton, CA 92832 | 2013-03-13 |
| 1790035558 | Jinhi Bowman | Chiropractor | 111 W. Bastanchury Rd., Unit 1e, Fullerton, CA 92835 | 2012-09-19 |
| 1306125901 | Gregory J Valentine A C P C | Chiropractor | 162 N Raymond Ave, Fullerton, CA 92831-4610 | 2011-08-12 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.