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General NPI Number Information
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NPI Number | 1144237157
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Entity Type | Individual
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Provider Name | PAULA L KOPF NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14445 OLIVE VIEW DR OLIVE VIEW UCLA MEDICAL CENTER
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City | SYLMAR
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State | CA
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Zip | 91342
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Country | US
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Telephone | 818-364-4418
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Fax | 818-364-4538
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Provider Business Mailing Address
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Address Line | 8943 FENWICK ST
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City | SUNLAND
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State | CA
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Zip | 91040-1767
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Country | US
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Telephone | 818-352-1229
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 423572/12196
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License Number State | CA
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