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Organization
PATRICIA COGHLAN, MD
Active
Organization
PATRICIA COGHLAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA THOMPSON (ADMINISTRATOR)
(805) 482-7342
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 403, LOS ANGELES, CA 90017-3905
(213) 481-2083
(213) 482-5613
Mailing address
1127 WILSHIRE BLVD STE 403, LOS ANGELES, CA 90017-3905
(213) 481-2083
(213) 482-5613
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A22797
CA
207N00000X
Dermatology Physician
A22797
CA
Other
Enumeration date
01/25/2008
Last updated
02/27/2008
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