MEDICARE: MR. CHRISTOPHER M COTE DC

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	111N00000X	Chiropractor	30647	CA

General Provider Information

NPI Number	:	1417148578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER M COTE DC

Provider Business Mailing Address
First Line	:	210 NEWPORT CENTER DR
Second Line	:	SUITE 3
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7505
Country	:	US
Telephone Number	:	949-922-0062
Fax Number	:	949-719-2626

Provider Business Practice Location Address
First Line	:	210 NEWPORT CENTER DR
Second Line	:	SUITE 3
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7505
Country	:	US
Telephone Number	:	949-922-0062
Fax Number	:	949-719-2626

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	06/14/2012

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