Kenneth C. Cooper

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100625 Issued in CA

Legal business name

KENNETH C. COOPER

Doing business as

K C Medical

Practice address

3760 Motor Ave
Suite 214
Los Angeles, CA 90034-6404

Phone

(310) 733-4433

Fax

(310) 733-4122

NPI assigned

Nov 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Charles Cooper

Title

Owner

Phone

(310) 733-4433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K C Medical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1093796039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 MOTOR AVE",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346404",
            "telephone_number": "310-733-4433",
            "fax_number": "310-733-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 MOTOR AVE",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346404",
            "telephone_number": "310-733-4433",
            "fax_number": "310-733-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. COOPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-733-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D02294F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K C Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Leif Kennerly, PT
• Tamara Kennerly
• Kenneth a. Geller, MD a Professional Corporation
• Kenneth C Nieberg MD Inc
• Kenneth C Nieberg MD Inc
• Kenneth H Thomas MD Inc
• Kenneth K Kim, a Medical Corporation
• Kenneth K. Kim, M.D., a Professional Medical Corporation
• Kenneth Subotnik, PH.D., Inc
• Kenneth W Luther a Chiropracti

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.