Organization Active NPI

Patricia Coghlan, MD

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1750568358
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A22797 Issued in CA
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

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X A22797 CA Primary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1003917667OtherNPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.