Kyle Wayne Coker, M.D.
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Laguna Woods, CA
NPI 1265436620 · NPPES record last updated Jun 16, 2020
Key facts
- NPI
- 1265436620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- G36807 (CA)
- Practice address
- 24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116 - Phone
- (949) 586-3200
- Fax
- (949) 900-2116
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G36807 | CA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | G36807 | CA | Yes |
Addresses
Primary practice location
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Mailing address
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone (949) 586-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RR2000 22926 | Other | CA | MEDICARE RAILROAD |
| 00G368070G89 | Other | CA | CAL-OPTIMA |
| 00G368070 | Medicaid | CA |
Other providers in Laguna Woods, CA
- Peter Pe Chu
- Christine Huyen Chung
- Emily Marie Clarke
- Stacy Renee Cohen-Barrera
- Diane J Coker
- Kent J Collins
- Cox Dental Corporation
- Lydia Creedon
- Csun Pharmaceutics Inc
- Amy Ruth Cullen
All providers in Laguna Woods, CA · Orthopaedic Hand Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2020. 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.