MEDICARE: KIM L COOPER MD

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	207W00000X	Ophthalmology Physician	A049241	CA

General Provider Information

NPI Number	:	1558381905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM L COOPER MD

Provider Business Mailing Address
First Line	:	1720 EL CAMINO REAL
Second Line	:	SUITE 235
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3224
Country	:	US
Telephone Number	:	650-259-0300
Fax Number	:	650-259-0300

Provider Business Practice Location Address
First Line	:	1720 EL CAMINO REAL
Second Line	:	SUITE 235
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3224
Country	:	US
Telephone Number	:	650-259-0300
Fax Number	:	650-259-0505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	05/03/2016

Similar Medicare Providers

1861486359 — MS. LISA A. FREY N.P.
Practice Location Address:

1720 EL CAMINO REAL , SUITE 130
BURLINGAME, CA
94010-3224

Practice Phone: 650-692-0977
Practice Fax: 650-259-5840

1316913973 — DR. DONALD HO M.D.
Practice Location Address:

1720 EL CAMINO REAL , SUITE 150
BURLINGAME, CA
94010-3224

Practice Phone: 650-697-5367
Practice Fax: 650-697-3843

1477513240 — CARDIOVASCULAR ASSOCIATES OF THE PENINSULA
Practice Location Address:

1720 EL CAMINO REAL , STE 100
BURLINGAME, CA
94010-3224

Practice Phone: 650-259-5300
Practice Fax: 650-259-5390

1821059114 — MICHAEL DAVID RABBINO M.D.
Practice Location Address:

1720 EL CAMINO REAL , STE 100
BURLINGAME, CA
94010-3224

Practice Phone: 650-259-5300
Practice Fax: 650-259-5390

1407808579 — PENINSULA SLEEP CENTER INC
Practice Location Address:

1720 EL CAMINO REAL , SUITE 150
BURLINGAME, CA
94010-3224

Practice Phone: 650-697-7079
Practice Fax: 650-697-5845

1306882949 — DR. DAVID C. KLONOFF M.D.
Practice Location Address:

1720 EL CAMINO REAL , SUITE #130
BURLINGAME, CA
94010-3224

Practice Phone: 650-697-4345
Practice Fax: 650-259-5840

Directions to “ KIM L COOPER MD” 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 © 2007-2025 (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.