Kofford Medical Corp.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A70574 Issued in CA

Legal business name

KOFFORD MEDICAL CORP.

Practice address

24582 Del Prado
Ste H
Dana Point, CA 92629-3843

Phone

(949) 493-7777

Fax

(949) 388-7264

NPI assigned

Nov 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark W. Kofford, MD, PHD

Title

Owner

Phone

(949) 493-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana Point Urgent Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1760464424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "STE H",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293843",
            "telephone_number": "949-493-7777",
            "fax_number": "949-388-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "STE H",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293843",
            "telephone_number": "949-493-7777",
            "fax_number": "949-388-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOFFORD MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "KOFFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-493-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A70574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A705741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana Point Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Kempert, M.D.
• Ken Yoshino DPT Atc Physical Therapy a Professional Corporation
• Larissa Emily Kibort, CADC
• Daniel Christopher Kimbley, DC
• Jeffrey R. Kindseth, DDS
• Jeannine Carmen Kofford, M.D.
• Eileen M Kramer, PSY.D.
• Cathryn Ann Kruger, APCC
• Kyle Jordan Physical Therapy Consulting PC
• Lynn Marie Kyne, OTR/L

• Urgent Care Clinic/Center in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.