Individual
DWAIN L COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 SAMARITAN DR, SUITE 100, SAN JOSE, CA 95124-3910
(408) 879-5900
(408) 490-1636
Mailing address
2490 HOSPITAL DR, STE 311, MOUNTAIN VIEW, CA 94040-4126
(408) 879-5900
(408) 490-1636
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G58266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-3374042
TAX ID
CA
01
—
G58266
CA MED LICENSE
CA
Enumeration date
04/21/2006
Last updated
12/04/2020
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