Organization
LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JEFFREY COUFAL M.D., FACS (NEUROSURGEON)
(858) 677-1755
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE #411, LA JOLLA, CA 92037-1223
(858) 677-1755
(858) 677-1771
Mailing address
9834 GENESEE AVE, SUITE #411, LA JOLLA, CA 92037-1223
(858) 677-1755
(858) 677-1771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5918840001
PTAN
CA
Enumeration date
02/08/2007
Last updated
07/29/2015
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