| Shelby Cooper, PA-C | |
|
22481 Aspan St Ste A, Lake Forest, CA 92630-1648 | |
| (949) 240-2272 | |
| (949) 429-7607 |
| Full Name | Shelby Cooper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 22481 Aspan St Ste A, Lake Forest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417755323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65766 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Cooper, PA-C 22481 Aspan St, Lake Forest, CA 92630-1651 Ph: (949) 240-2272 | Shelby Cooper, PA-C 22481 Aspan St Ste A, Lake Forest, CA 92630-1648 Ph: (949) 240-2272 |
Alex Chadwick Van Der Ham, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26730 Towne Centre Dr Ste 204, Lake Forest, CA 92610 Phone: 949-380-1234 |
Oana-diana Popescu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24401 Muirlands Blvd Ste A, Lake Forest, CA 92630 Phone: 949-770-1950 |
Emily Kincaid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24552 Raymond Way # 1330, Lake Forest, CA 92630 Phone: 949-421-7802 |
Scott Cummings Baron, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630 Phone: 949-452-7544 |
Stephanie Quilianna Fizzard, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 25902 Tipperary Ln, Lake Forest, CA 92630 Phone: 949-916-2924 |
Hye Won Park, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Sorrel, Lake Forest, CA 92630 Phone: 714-788-1290 |
Katrina Wingco Spadafore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23653 El Toro Rd Ste B, Lake Forest, CA 92630 Phone: 949-317-0312 |