DR. MICKEY SEMO COFFLER MD NPI 1205870482

NPI Information

NPI: 1205870482
Provider Name: DR. MICKEY SEMO COFFLER, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
200 WEST ARBOR DRIVE MC 8201
UCSD MEDICAL CENTER
SAN DIEGO, CA
ZIP 92103
Phone: (858) 657-8745
Get Directions

DR. Mickey Semo Coffler, MD is an obstetrics gynecology in San Diego, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Mickey Semo Coffler, MD NPI is 1205870482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 WEST ARBOR DRIVE MC 8201
UCSD MEDICAL CENTER
SAN DIEGO, CA
ZIP 92103-201
Phone: (858) 657-8745
Fax: (619) 543-3183

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		A73812	CALIFORNIA	Yes
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	A73812	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	WA73812A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	H09397	MEDICARE UPIN
3	00A738120	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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