Healthcare Provider Details

I. General information

NPI: 1245218437
Provider Name (Legal Business Name): CHRISTINE L COY MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26800 CROWN VALLEY PKWY STE 250
MISSION VIEJO CA
92691-8038
US

IV. Provider business mailing address

26800 CROWN VALLEY PKWY STE 250
MISSION VIEJO CA
92691-8038
US

V. Phone/Fax

Practice location:
  • Phone: 949-542-8004
  • Fax:
Mailing address:
  • Phone: 949-542-8004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number813500
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: