Healthcare Provider Details

I. General information

NPI: 1073516738
Provider Name (Legal Business Name): ALAN S COIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39300 BOB HOPE DR STE B1108
RANCHO MIRAGE CA
92270-3203
US

IV. Provider business mailing address

39300 BOB HOPE DR STE B1108
RANCHO MIRAGE CA
92270-3203
US

V. Phone/Fax

Practice location:
  • Phone: 760-340-4621
  • Fax: 760-341-3329
Mailing address:
  • Phone: 760-340-4621
  • Fax: 760-341-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG34181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: