KOFFORD MEDICAL CORP. NPI 1760464424

NPI Information

  • NPI: 1760464424
  • Provider Name: KOFFORD MEDICAL CORP.
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: DANA POINT URGENT CARE
  • Address: 24582 DEL PRADO
    STE H
    DANA POINT, CA
    ZIP 92629
  • Phone: (949) 493-7777

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NPI Details

KOFFORD MEDICAL CORP. is an urgent care clinic center in Dana Point, CA. KOFFORD MEDICAL CORP. NPI is 1760464424. The provider is registered as an organization entity type.
The provider Is Doing Business As Dana Point Urgent Care.

The provider's business location address is:

24582 DEL PRADO
STE H
DANA POINT, CA
ZIP 92629-843
Phone: (949) 493-7777
Fax: (949) 388-7264

The provider's authorized official is Mark W. Kofford .
The authorized official title is Owner and has the following contact phone number (949) 493-7777.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 6/25/2010.

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
1261QU0200XClinic/CenterUrgent CareA70574CALIFORNIAYes

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
100A705741MEDICAIDCALIFORNIA
2W15364MEDICARE ID-TYPE UNSPECIFIEDPROVIDER NUMBER
3H38165MEDICARE UPINCALIFORNIA

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

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