Active NPI
Patricia Coghlan, MD
- Allergy & Immunology Physician
- Los Angeles, CA
National Provider Identifier
1750568358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A22797
- Legal business name
- PATRICIA COGHLAN, MD
- Practice address
- 1127 Wilshire Blvd Ste 403
Los Angeles, CA 90017-3905 - Phone
- (213) 481-2083
- Fax
- (213) 482-5613
- NPI assigned
- Jan 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcia Thompson
- Title
- Administrator
- Phone
- (805) 482-7342
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A22797 | CA | Primary |
| Dermatology Physician | 207N00000X | A22797 | CA |
Addresses
Primary practice location
1127 Wilshire Blvd Ste 403
Los Angeles, CA 90017-3905
Mailing address
1127 Wilshire Blvd Ste 403
Los Angeles, CA 90017-3905
Phone (213) 481-2083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003917667 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
1127 Wilshire Blvd
Ste 403
Los Angeles, CA 90017
Phone (213) 250-9988
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1548231764
-
- Primary Care Nurse Practitioner
- Los Angeles, CA
- NPI 1528517083
-
- Family Nurse Practitioner
- Sacramento, CA
- NPI 1083128565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1750568358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BLVD STE 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173905",
"telephone_number": "213-481-2083",
"fax_number": "213-482-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BLVD STE 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173905",
"telephone_number": "213-481-2083",
"fax_number": "213-482-5613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA COGHLAN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-25",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARCIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "805-482-7342"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A22797",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A22797",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003917667",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.