Individual
MICHAEL ALLEN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14507 HAWTHORNE BLVD, LAWNDALE, CA 90260-1520
(310) 856-2685
Mailing address
14507 HAWTHORNE BLVD, LAWNDALE, CA 90260-1520
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A40212
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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