Provider Demographics
NPI:1457029902
Name:TURNER COOPER, SARA (PA-C, PHD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:TURNER COOPER
Suffix:
Gender:F
Credentials:PA-C, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 CENTER DR STE 404
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3072
Mailing Address - Country:US
Mailing Address - Phone:858-622-7200
Mailing Address - Fax:858-622-7211
Practice Address - Street 1:8851 CENTER DR STE 404
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3072
Practice Address - Country:US
Practice Address - Phone:858-622-7200
Practice Address - Fax:619-463-8230
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA59876363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant