Healthcare Provider Details

I. General information

NPI: 1902312457
Provider Name (Legal Business Name): ALAN SAMUEL COIT MD AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 12/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35900 BOB HOPE DR STE B172
RANCHO MIRAGE CA
92270-1766
US

IV. Provider business mailing address

35900 BOB HOPE DR STE B172
RANCHO MIRAGE CA
92270-1766
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN S COIT
Title or Position: PRESIDENT
Credential: MD
Phone: 760-340-4621