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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COPA DE ORO MEDICAL GROUP INC
NPI 1366214413
Internal Medicine in Norwalk, CA

Active since October 23, 2023CLIA 05D2311371 · Waiver
12052 IMPERIAL HWY STE 102, NORWALK, CA 90650(310) 404-7171 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2026, Aug 15, 2024, Jun 14, 2024 and 3 more (6 updates tracked since 2023).

About Copa De Oro Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPA DE ORO MEDICAL GROUP INC (NPI 1366214413) is a healthcare organization registered as an internal medicine in Norwalk, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Bahman Chavoshan, Owner, as its authorized official.

NPPES Registry Identity

NPI1366214413
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOPA DE ORO MEDICAL GROUP INC
Location Address12052 IMPERIAL HWY STE 102Norwalk, CA 90650-3091
Mailing Address12052 Imperial Hwy Ste 102Norwalk, CA 90650-3091 · (562) 261-9330 · Fax (562) 543-3134
Phone(310) 404-7171
Organization SubpartNo
Authorized OfficialBahman ChavoshanOwner · (562) 261-9330
Enumeration DateOctober 23, 2023
Last NPPES UpdateAugust 6, 20266 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1366214413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
12052 IMPERIAL HWY STE 102, Norwalk, CA 90650
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2311371

Copa De Oro Medical Group Inc Dba Cdo Medical Group · Norwalk, CA
Active · expires Sep 19, 2026
CLIA Number05D2311371
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorBahman Chavoshan
Laboratory Phone(562) 261-9330
Laboratory LocationCopa De Oro Medical Group Inc Dba Cdo Medical Group12052 Imperial Hwy Ste 102, Norwalk, CA 90650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copa De Oro Medical Group Inc's NPI number?

The NPI number for Copa De Oro Medical Group Inc is 1366214413. It was assigned to this organization in the NPPES registry on October 23, 2023.

Where is Copa De Oro Medical Group Inc located?

Copa De Oro Medical Group Inc is located at 12052 Imperial Hwy Ste 102, Norwalk, CA 90650. The listed phone number is (310) 404-7171.

What is Copa De Oro Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Copa De Oro Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2311371) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Copa De Oro Medical Group Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 26 other insurers list Copa De Oro Medical Group Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Copa De Oro Medical Group Inc was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.