Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A71375 | CA |
NPI | 1174628499 |
---|---|
Provider Name | Dr. James F Coleman JR. |
First Address | Orange, CA 92867-3905 |
Second Address | Orange, CA 92868-4207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H14192 | (02) | CA |