Individual
DR. RATHAPHIROM COCO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3127 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2507
(310) 453-9004
(310) 453-9014
Mailing address
2111 CRESCENT OAK, IRVINE, CA 92618-4019
(310) 740-7485
(949) 654-9712
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
27449
CA
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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