Individual
KATHLEEN M COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646-2232
(714) 968-0068
Mailing address
15631 EDEN ST, WESTMINSTER, CA 92683-6828
(714) 898-1855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15569
CA
Other
Enumeration date
06/20/2005
Last updated
11/29/2021
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