DR. MICHAEL ANTHONY COPPOLA JR. (NPI# 1699962423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699962423 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY COPPOLA JR. |
| Credential | D.C. |
| Practice Address |
655 Camino De Los Mares Suite 121 San Clemente CA 92673-2809 |
| Practice Telephone | 9494871231 |
| Practice Fax Number | 9494870221 |
| Mailing Telephone | 9494871231 |
| Mailing Fax Number | 9494870221 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 30393 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050275 | Michael A Coppola | Dentist | 3720 South Park Avenue, Blasdell, NY 14219 | 2007-04-12 |
| 1639107774 | Michael A Coppola | Chiropractor | 332 N Bethlehem Pike, Ambler, PA 19002-3525 | 2006-06-29 |
| 1790724052 | Michael Patrick Coppola | Internal Medicine | 801 Cromwell Park Dr, Suite 108, Glen Burnie, MD 21061-2539 | 2006-06-05 |
| Street Address |
655 CAMINO DE LOS MARES SUITE 121 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591994 | Navjyot Gujral | Internal Medicine | 655 Camino De Los Mares, 123, San Clemente, CA 92673-2809 | 2006-03-09 |
| 1720479272 | The Sober Spot, LLC | Chiropractor | 655 Camino De Los Mares, Suite 121, San Clemente, CA 92673 | 2015-02-05 |
| 1275886830 | Senior Care Medical Associates, Inc. | Family Medicine | 655 Camino De Los Mares, Suite 122, San Clemente, CA 92673-2809 | 2012-10-19 |
| 1447484910 | Debra Hetschel | Counselor | 655 Camino De Los Mares, #120, San Clemente, CA 92673-2809 | 2009-05-12 |
| 1588814677 | Pacific Clinics | Community/Behavioral Health | 655 Camino De Los Mares, 120, San Clemente, CA 92673-2809 | 2008-09-24 |
| 1568676260 | Sandra S Grifman | Marriage & Family Therapist | 655 Camino De Los Mares, #127, San Clemente, CA 92673 | 2007-05-10 |
| 1790902211 | Janet M Seymour | Psychologist | 655 Camino De Los Mares, Suite 127, San Clemente, CA 92673-2809 | 2007-04-18 |
| 1740405893 | Piper Ann Walsh | Psychologist | 655 Camino De Los Mares, Suite 127, San Clemente, CA 92673-2809 | 2007-04-16 |
| 1649302779 | Breanna Moskovitz | Counselor | 655 Camino De Los Mares, Suite 120, San Clemente, CA 92673-2809 | 2007-03-12 |
| 1417092719 | Don Moore | Chiropractor | 655 Camino De Los Mares, San Clemente, CA 92673-2809 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161374 | Strive Chiropractic and Integrative Health, Gill Corporation | Chiropractor | 16 Calle Loyola, San Clemente, CA 92673-7058 | 2020-04-01 |
| 1528692183 | Connor James Naasz | Chiropractor | 113 W Avenida Valencia, San Clemente, CA 92672-4241 | 2020-02-23 |
| 1174089932 | Corey Diamond | Chiropractor | 629 Camino De Los Mares Ste 104, San Clemente, CA 92673-2829 | 2019-02-18 |
| 1144786385 | Mike Jack Laubach | Chiropractor | 903 Buena Vis Apt E, San Clemente, CA 92672-5068 | 2019-02-12 |
| 1801398466 | Stephanie Chen | Chiropractor | 1502 N El Camino Real Ste 103, San Clemente, CA 92672-5906 | 2018-02-28 |
| 1346652666 | Tyson Synergy1 Solutions, Inc. | Chiropractor | 161 Avenida Baja, San Clemente, CA 92672-2465 | 2014-05-21 |
| 1245659507 | Burton Wagner | Chiropractor | 647 Camino De Los Mares Ste 220, San Clemente, CA 92673-2807 | 2014-04-15 |
| 1295175024 | Ryan Roger Anderson | Chiropractor | 653 Camino De Los Mares Ste 100, San Clemente, CA 92673-2808 | 2013-06-25 |
| 1780923268 | Stephen Herbert Zoerner | Chiropractor | 2116 Via Aguila, San Clemente, CA 92673-5654 | 2013-02-04 |
| 1588968846 | Erin Iselin Christiansen | Chiropractor | 903 Calle Amanecer Ste 230, San Clemente, CA 92673-6251 | 2010-12-30 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on DR. MICHAEL ANTHONY COPPOLA JR..
| 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.