MEDICARE: KENNETH C. COOPER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	100625	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093796039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNETH C. COOPER

Provider Business Mailing Address
First Line	:	3760 MOTOR AVE
Second Line	:	SUITE 214
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6404
Country	:	US
Telephone Number	:	310-733-4433
Fax Number	:	310-733-4122

Provider Business Practice Location Address
First Line	:	3760 MOTOR AVE
Second Line	:	SUITE 214
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-6404
Country	:	US
Telephone Number	:	310-733-4433
Fax Number	:	310-733-4122

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETH CHARLES COOPER
Credential	:
Telephone Number	:	310-733-4433

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	10/15/2010

Similar Medicare Providers

1528082377 — MS. DOROTHY JEANNE BERNDT LCSW
Practice Location Address:

3760 MOTOR AVE , SUITE #311
LOS ANGELES, CA
90034-6404

Practice Phone: 310-374-7905
Practice Fax: 310-374-7905

1396877890 — MS. JULIE DIANE COHEN MFT
Practice Location Address:

3760 MOTOR AVE , SUITE 205
LOS ANGELES, CA
90034-6404

Practice Phone: 310-289-4764
Practice Fax:

1750407755 — JUDITH A. SCHWAFEL PH.D.
Practice Location Address:

3760 MOTOR AVE , SUITE 311
LOS ANGELES, CA
90034-6404

Practice Phone: 310-306-7092
Practice Fax:

1275653719 — MS. LOUISE N. KERR M.A.
Practice Location Address:

3760 MOTOR AVE , SUITE 215
LOS ANGELES, CA
90034-6404

Practice Phone: 310-281-9799
Practice Fax:

1104029891 — RISA SHERWOOD GORDON MFT
Practice Location Address:

3760 MOTOR AVE , SUITE 311
LOS ANGELES, CA
90034-6404

Practice Phone: 310-837-6368
Practice Fax: 310-837-3486

1952560203 — PHYSICIANS RESOURCE SOLUTIONS, INC.
Practice Location Address:

3760 MOTOR AVE , SUITE 318
LOS ANGELES, CA
90034-6404

Practice Phone: 310-694-3750
Practice Fax: 310-862-1881

Directions to “KENNETH C. COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.