Individual
TOM K COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 MARICOPA HWY STE B, OJAI, CA 93023-3130
(805) 272-8676
(203) 452-7089
Mailing address
1301 MARICOPA HWY STE B, OJAI, CA 93023-3130
(805) 272-8676
(805) 430-6846
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
031622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003779
HEALTHNET
—
01
—
010031622CT03
BLUE CROSS
—
01
—
0806723
AETNA
—
01
—
1253285
UNITED HEALTH
—
01
—
3443104002
CIANA
—
01
—
791182
CONNECTICARE
—
01
—
P691119
OXFORD
—
Enumeration date
07/06/2006
Last updated
12/18/2022
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