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Individual

DR. FRANK JEFFREY COUFAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9834 GENESEE AVE, SUITE 411, LA JOLLA, CA 92037-1223
(858) 677-1755
Mailing address
9834 GENESEE AVE, SUITE 411, LA JOLLA, CA 92037-1223
(858) 677-1755

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A50766
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A507660
BLUE SHIELD
CA
01
P00228373, DD4418
RAIL ROAD MEDICARE
CA
Enumeration date
08/14/2006
Last updated
11/29/2011
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