Casey Cooper in Mission Viejo - Exercise & Sports
Casey Cooper - NPI 1073798179
Casey Cooper is a Exercise & Sports in Mission Viejo, California. Casey Cooper practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Casey Cooper is 1073798179. The last update date is 2016-10-04.
Casey Cooper's current location address is 27201 Puerta Real, Mission Viejo, California. You can contact this provider via phone number 9494204655. The mailing address for Casey Cooper is 27201 Puerta Real, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Casey Cooper |
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Address | 27201 Puerta Real, Mission Viejo, California |
Phone Number | 9494204655 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1073798179 |
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Provider Enumeration Date | 2008-01-08 |
Last Updated Date | 2016-10-04 |
Provider Mailing Address Detail
Address | 27201 Puerta Real |
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City | Mission Viejo |
State | California (CA) |
Post Code | 926917359 |
Phone Number | 9494204655 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Exercise & Sports |
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Taxonomy | 103Te1100X |
Licence No | PSY21348 |
Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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What is the unique identifier code issued to Casey Cooper by the Centers for Medicare & Medicaid Services?
The Casey Cooper has been assigned the NPI (National Provider Identifier) 1073798179. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Casey Cooper is physically located?
The Casey Cooper is physically situated at the following address: 27201 Puerta Real, Mission Viejo, CA, 926917359.
What is the Casey Cooper's area of specialization and corresponding taxonomy classification?
The Casey Cooper's specialty field is Exercise & Sports, and it falls under the taxonomy code 103Te1100X, which categorizes healthcare providers based on their specialties.
On what date did the Casey Cooper receive the assignment of its 1073798179 from the Centers for Medicare & Medicaid Services?
The Casey Cooper was issued its 1073798179 by the Centers for Medicare & Medicaid Services on 2008-01-08.
As of what date were the details pertaining to Casey Cooper last refreshed?
The information related to the Casey Cooper, including its address, specialty, and other relevant details, was last updated on 2016-10-04.
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