William J. Coffey, Jr.

LBN: Acla Dermatology & Medical Clinic
William J. Coffey, Jr. is an health care organization with primary practice located at 3701 Stocker St Suite 105, Los Angeles CA 90008-5108. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Acla Dermatology & Medical Clinic can be contacted via phone (323) 295-0644, or through Campbell, Sheila via phone (323) 295-0644.

Contact Information

Primary practice address
3701 Stocker St Suite 105 Los Angeles CA 90008-5108
Phone: (323) 295-0644
Fax: (323) 295-3786
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Sheila
Phone: (323) 295-0644

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C30645 California

Profile Details

NPI number 1447444690
LBN Legal business name Acla Dermatology & Medical Clinic
DBA Doing business as William J. Coffey, Jr.
Authorized official Campbell, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Dec 7th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447444690 NPPES
California MEDICAID 00C306450

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