# KOFI D SEFA-BOAKYE , MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285758417
- **Authorized official:** DR. KOFI DABO SEFA-BOAKYE M.D. (OFFICER)
- **Authorized official phone:** (619) 422-2121

## Contact information

- **Practice address:** 344 E H STREET, SUITE 1402, CHULA VISTA, CA 91910
- **Practice address phone:** (619) 422-2121
- **Practice address fax:** (619) 422-2427
- **Mailing address:** 10 PORT ROYAL, CORONADO, CA 92118
- **Mailing address phone:** (619) 575-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G59670 | CA | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020