Kohfeld, Jeffrey Dean

Kohfeld, Jeffrey Dean is an individual health care provider with primary practice located at 72780 Country Club Dr Ste C300 , Rancho Mirage CA 92270-4150. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Kohfeld, Jeffrey Dean can be contacted via phone (760) 341-5550.

Contact Information

Primary practice address
72780 Country Club Dr Ste C300 Rancho Mirage CA 92270-4150
Phone: (760) 341-5550
Fax: (833) 471-2093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA16230 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16230 California

Profile Details

NPI number 1336240316
LBN Legal business name Kohfeld, Jeffrey Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 5th, 2023 - about last year

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 1336240316 NPPES
California MEDICAID MK0794758
California Other PA16230

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