Provider Demographics
NPI:1710201421
Name:COPE HEALTH SOLUTIONS
Entity type:Organization
Organization Name:COPE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-259-0245
Mailing Address - Street 1:2400 S FLOWER ST
Mailing Address - Street 2:LOWMAN OUTPATIENT BUILDING, THIRD FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2629
Mailing Address - Country:US
Mailing Address - Phone:213-259-0245
Mailing Address - Fax:213-259-0253
Practice Address - Street 1:2400 S FLOWER ST
Practice Address - Street 2:LOWMAN OUTPATIENT BUILDING, THIRD FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2629
Practice Address - Country:US
Practice Address - Phone:213-259-0245
Practice Address - Fax:213-259-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile