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NPI Code Detail

MEDICARE: ANDREW COFRE

MEDICARE: ANDREW COFRE
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
12255A2300XAthletic TrainerCA

General Provider Information

NPI Number : 1710834122
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW COFRE
Provider Business Mailing Address
First Line : 3460 ROSEMARY AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1511
Country : US
Telephone Number : 818-402-3114
Fax Number :
Provider Business Practice Location Address
First Line : 3460 ROSEMARY AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1511
Country : US
Telephone Number : 818-402-3114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ ANDREW COFRE ” Practice Location

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