CHARLES DWAYNE COOPER (NPI# 1255590956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255590956 |
| Entity Type | Individual |
| Full Name | CHARLES DWAYNE COOPER |
| Practice Address |
22030 Sherman Way Canoga Park CA 91303-1855 |
| Mailing Address |
676 S Central Ave Los Angeles CA 90021-1039 |
| Practice Telephone | 8183400230 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109689 | Charles H Cooper | Dentist | 38 Cottonwood Ln, Hilton Head Island, SC 29926-1960 | 2010-12-17 |
| 1962631218 | Charles Key Cooper | Internal Medicine | 2401 W. Baltimore St, Baltimore, MD 21223 | 2009-07-08 |
| 1730303082 | Charles Alan Cooper | Ophthalmology | 8 Landers St, Unit 301, San Francisco, CA 94114-4300 | 2007-04-11 |
| 1588743843 | Charles Acker Cooper | Dentist | 711 East Tenth Street, Suite A, Anniston, AL 36207-4779 | 2006-11-06 |
| 1255422507 | Charles Howard Cooper | Dentist | 5936 Hubbard Drive, Rockville, MD 70852 | 2006-09-28 |
| 1912913021 | Charles Clayton Cooper Jr. | Dentist | 1635 Friar Tuck Rd Ne, Atlanta, GA 30309-2611 | 2006-07-31 |
| 1679526750 | Charles L. Cooper | Psychologist | 100 Europa Dr, Suite 260, Chapel Hill, NC 27517-2357 | 2006-05-18 |
| 1205836590 | Charles L. Cooper | Radiology | 6243 Woodhaven Blvd, Rego Park, NY 11374-3731 | 2005-07-28 |
| 1578109963 | Charles Cooper | Registered Nurse | 4801 Brentwood Stair Rd Ste 404, Ft Worth, TX 76103-1731 | 2019-11-21 |
| 1790243459 | Charles W Cooper | Psychologist | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2019-03-12 |
| Street Address |
22030 SHERMAN WAY |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91303-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299173 | Hessam Aazami | General Practice | 22030 Sherman Way, Suite #101, Canoga Park, CA 91303-1844 | 2006-03-14 |
| 1972943264 | Oleg Gabrylchuk | Counselor | 22030 Sherman Way, Suite 115, Canoga Park, CA 91303-1855 | 2013-07-01 |
| 1902143365 | Lisa Oborne | Nurse Practitioner | 22030 Sherman Way, Suite 101, Canoga Park, CA 91303-1855 | 2013-01-05 |
| 1750630406 | Elena Zinchenko | Counselor | 22030 Sherman Way, Suite 115, Canoga Park, CA 91303-1855 | 2012-09-07 |
| 1841547585 | New Beginning Treatment Center | Public Health or Welfare | 22030 Sherman Way, 115, Canoga Park, CA 91303-1855 | 2012-08-13 |
| 1801142153 | Antonio Torres IIi | Counselor | 22030 Sherman Way, Suite #115, Canoga Park, CA 91303-1855 | 2012-07-24 |
| 1144596966 | Bendito Pediatrics Inc | Clinic/Center | 22030 Sherman Way, Suite #210, Canoga Park, CA 91303-1855 | 2012-03-27 |
| 1578837118 | Saybian Enterprises, Inc. | Pharmacy | 22030 Sherman Way, Ste 100, Canoga Park, CA 91303-1855 | 2012-02-29 |
| 1528344629 | Crystal Denise Kendall | Counselor | 22030 Sherman Way, Suite 115, Canoga Park, CA 91303-1855 | 2011-11-02 |
| 1093002024 | Sol Weiss, M.d.,inc | Family Medicine | 22030 Sherman Way, Suite 118, Canoga Park, CA 91303-1855 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574839 | Diagnostic Investments LLC | Clinical Medical Laboratory | 7023 Canoga Avenue Suite B, Canoga Park, CA 91303 | 2020-09-30 |
| 1295353274 | Saadat Aimaq | Dietitian, Registered | 6800 Variel Ave, #203, Canoga Park, CA 91303 | 2020-07-07 |
| 1013550599 | California Recovery Center Inc | Clinic/Center | 6921 Alabama Ave, Canoga Park, Ca, CA 91303 | 2019-10-28 |
| 1598242745 | Dong Hyun Chang | Acupuncturist | 7318 Topanga Canyon Blvd., Canoga Park, CA 91303 | 2018-07-20 |
| 1063908689 | Caremed Hospice Inc | Hospice Care, Community Based | 22048 Sherman Way Ste 309, Canoga Park, CA 91303 | 2018-07-06 |
| 1366968190 | Universal Healthcare Group Dme, Inc | Durable Medical Equipment & Medical Supplies | 20944 Sherman Way Ste 215, Canoga Park, CA 91303 | 2017-08-14 |
| 1205357233 | Sepulveda Plaza Medical Center Inc | Chiropractor | 7318 Topanga Canyon Blvd. Suite 118, Canoga Park, CA 91303 | 2017-06-29 |
| 1164942074 | Christopher Lang Sr. | Clinical Exercise Physiologist | 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 | 2017-06-21 |
| 1962895235 | Sinai Dental Clinic | Point of Service | 7257 Vassar Ave #203, Canoga Park, CA 91303 | 2015-03-11 |
| 1033515838 | True Care Home Health Services, Inc | Home Health | 7355 Topanga Canyon Blvd Ste 201, Canoga Park, CA 91303 | 2014-11-06 |
| Find all providers in zip 91303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583515 | Tebei Lorenzo Melaitau | Counselor | 7636 Owensmouth Ave Apt 20, Canoga Park, CA 91304-4810 | 2018-10-10 |
| 1801142963 | Aegis Medical Systems, Inc | Counselor | 7256 Remmet Ave, Canoga Park, CA 91303 | 2012-07-26 |
| 1316254972 | Vanessa Navarro | Counselor | 6926 Alabama Ave, Canoga Park, CA 91303-2017 | 2010-09-02 |
| 1730300849 | David Williams | Counselor | 7245 Owensmouth Ave, Canoga Park, CA 91303-1530 | 2007-05-02 |
| 1881711505 | Lisamarie Christina Steffens | Counselor | 7246 Remment Ave, Canoga Park, CA 91303 | 2007-03-26 |
| 1538292024 | Yadira Hernandez | Counselor | 21219 Roscoe Blvd Unit 204, Canoga Park, CA 91304-4244 | 2007-03-13 |
| 1972146983 | Nahid Modabber | Counselor | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304 | 2019-10-22 |
| 1851932354 | Claudia V Montealegre | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2019-10-05 |
| 1427514017 | Jennifer Small | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2019-02-19 |
| 1821563156 | Susan E Hann Doyle | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2018-10-13 |
| Find all providers in CANOGA PARK | ||||
| City | CANOGA PARK |
| Zip Code | 91303 |
Please comment or provide details below to improve the information on CHARLES DWAYNE COOPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.