Diane J Coker, P.T.
Individual provider Active NPI Specialist · Laguna Woods, CA
NPI 1194720474 · NPPES record last updated Sep 21, 2010
Key facts
- NPI
- 1194720474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PT08251 (CA)
- Practice address
- 24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637-2753 - Phone
- (949) 586-3200
- Fax
- (949) 900-2136
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT08251 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Orthopedic Specialists | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT08251 | CA | Yes |
Addresses
Primary practice location
24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637-2753
Mailing address
PO Box 31063
Laguna Hills, CA 92654-1063
Phone (949) 586-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9105000224 | Other | CA | CERTIFIED HAND THERAPIST |
Other names
- Diane Autrey Coker
Other providers in Laguna Woods, CA
- Julie Miae Choi
- Peter Pe Chu
- Christine Huyen Chung
- Emily Marie Clarke
- Stacy Renee Cohen-Barrera
- Kyle Wayne Coker
- Kent J Collins
- Cox Dental Corporation
- Lydia Creedon
- Csun Pharmaceutics Inc
All providers in Laguna Woods, CA · Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.