Provider Demographics
NPI:1447441795
Name:COE, DAVID W (CPO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:COE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6865 ALTON PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3740
Mailing Address - Country:US
Mailing Address - Phone:949-727-4041
Mailing Address - Fax:949-727-4748
Practice Address - Street 1:6865 ALTON PKWY STE 120
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3740
Practice Address - Country:US
Practice Address - Phone:949-727-4041
Practice Address - Fax:949-727-4748
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist