MEDICARE: DR. SCOTT ANTHONY COTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	61582	CA

General Provider Information

NPI Number	:	1174503965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ANTHONY COTA M.D.

Provider Business Mailing Address
First Line	:	NAVAL HOSPITAL LEMOORE
Second Line	:	937 FRANKLIN AVE, LEMOORE
City	:	LEMOORE
State	:	CA
Zip	:	93246-0001
Country	:	US
Telephone Number	:	559-998-4487
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL HOSPITAL LEMOORE
Second Line	:	937 FRANKLIN AVE, LEMOORE
City	:	LEMOORE
State	:	CA
Zip	:	93246-0001
Country	:	US
Telephone Number	:	559-998-4487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	10/31/2007

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