Organization
JOHN L COON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L COON M.D. (PRESIDENT)
(951) 751-9400
Entity
Organization
Contact information
Practice address
3975 JACKSON ST, SUITE 201, RIVERSIDE, CA 92503-3901
(951) 687-9400
(951) 687-9401
Mailing address
PO BOX 7578, RIVERSIDE, CA 92513-7578
(951) 751-9400
(951) 352-5329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G31115
CA
Other
Enumeration date
01/18/2008
Last updated
02/22/2012
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