Organization
KOFFORD MEDICAL CORP.
Active
Other names
Dana Point Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W. KOFFORD MD, PHD (OWNER)
(949) 493-7777
Entity
Organization
Contact information
Practice address
24582 DEL PRADO, STE H, DANA POINT, CA 92629-3843
(949) 493-7777
(949) 388-7264
Mailing address
24582 DEL PRADO, STE H, DANA POINT, CA 92629-3843
(949) 493-7777
(949) 388-7264
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A70574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A705741
—
CA
Enumeration date
11/17/2005
Last updated
06/25/2010
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