Healthcare Provider Details

I. General information

NPI: 1215517511
Provider Name (Legal Business Name): JOSHUA B COLEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H200 MERCY CIRCLE ANESTHESIA DEPARTMENT
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

H200 MERCY CIRCLE ATTN: ANESTHESIA DEPARTMENT
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-685-1296
  • Fax:
Mailing address:
  • Phone: 760-685-1296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0000066885
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: