Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | A84897 | CA |
NPI | 1023286101 |
---|---|
Provider Name | Dr. Rebecca Coleman |
First Address | Orange, CA 92868-3201 |
Second Address | Orange, CA 92868-3201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2008 |
Last Update Date | 12/02/2008 |