Coffler, Mickey Semo

Coffler, Mickey Semo is an individual health care provider with primary practice located at 200 West Arbor Drive Mc 8201 Ucsd Medical Center, San Diego CA 92103-8201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Coffler, Mickey Semo can be contacted via phone (858) 657-8745.

Contact Information

Primary practice address
200 West Arbor Drive Mc 8201 Ucsd Medical Center San Diego CA 92103-8201
Fax: (619) 543-3183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A73812 California
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X A73812 California

Profile Details

NPI number 1205870482
LBN Legal business name Coffler, Mickey Semo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205870482 NPPES
California MEDICAID 00A738120

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