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

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NPI Details

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 9/11/2025.

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
1207V00000XObstetrics & GynecologyA73812CALIFORNIAYes
2207VE0102XObstetrics & GynecologyReproductive EndocrinologyA73812CALIFORNIANo

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 Other Provider Identifier Issuer
100A738120MEDICAIDCALIFORNIA

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: 11/21/2025

NPI Synchronization or Removal

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