Individual
DR. MICKEY SEMO COFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WEST ARBOR DRIVE MC 8201, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-8201
(858) 657-8745
(619) 543-3183
Mailing address
200 WEST ARBOR DRIVE MC 8201, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-8201
(858) 657-8745
(619) 543-3183
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A73812
CA
207VE0102X
Reproductive Endocrinology Physician
A73812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A738120
—
CA
Enumeration date
06/16/2006
Last updated
09/11/2025
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