Healthcare Provider Details

I. General information

NPI: 1730006818
Provider Name (Legal Business Name): RHONDA COFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CORPORATE POINTE STE 300
CULVER CITY CA
90230-7620
US

IV. Provider business mailing address

400 CORPORATE POINTE STE 300
CULVER CITY CA
90230-7620
US

V. Phone/Fax

Practice location:
  • Phone: 213-465-6795
  • Fax:
Mailing address:
  • Phone: 213-465-6795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: