Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAYLER SUZANNE KOPPERUD, RCS, RVS
Active Sole ProprietorMRS. TAYLER SUZANNE KOPPERUD, RCS, RVS is a Tumor Registrar healthcare provider located in MONTCLAIR, California. NPI 1548811037 is currently active in the NPPES registry. Verify at CMS.
Tumor Registrar · MONTCLAIR, CA
Registration Details
- NPI Number
- 1548811037
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2019 (6.9153956071205 yrs)
- Last Updated
- May 11, 2020
- Licenses
-
00868169 (CA)00868169 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4959 PALO VERDE ST STE 208C-4MONTCLAIR, CA, 917632360Browse CA providers · Browse ZIP 91763
- Phone
- 9096757362
- Primary Specialty
-
Tumor Registrar
246XS1301X
- Additional Specialty
- 246XC2903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.