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NPI Code Detail

MEDICARE: DR. ROBERT TAKAO COLES MD

MEDICARE: DR. ROBERT TAKAO COLES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA53910CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407876691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT TAKAO COLES MD
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2176 SALK AVE STE 200
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-7346
Country : US
Telephone Number : 760-827-7210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 05/25/2021

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Directions to “ DR. ROBERT TAKAO COLES MD” Practice Location

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