Rathaphirom Coco IV, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

27449 Issued in CA

Practice address

3127 Santa Monica Blvd
Santa Monica, CA 90404-2507

Phone

(310) 453-9004

Fax

(310) 453-9014

NPI assigned

Sep 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Coco IV Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222473600000",
    "number": "1932359841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CRESCENT OAK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184019",
            "telephone_number": "310-740-7485",
            "fax_number": "949-654-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042507",
            "telephone_number": "310-453-9004",
            "fax_number": "310-453-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IV",
        "first_name": "RATHAPHIROM",
        "middle_name": "COCO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "27449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COCO",
            "last_name": "IV",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Adele Israel, LCSW
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• Gladys Itchon I
• Sarah Ito, O.D.
• Its a Process Therapy
• Eliot Richard Ivanhoe, MD
• Timothy Garrett Iverson, REGISTERED NURSE
• Kristine Erin Ives, LPC, LMFT
• Ivy Joeva
• Gary K. Iwamoto, D.C.

• Rehabilitation Chiropractor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Rehabilitation Chiropractor in California

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