DR. Jeannine Carmen Kofford, M.D.

NPI #1710946876 in Dana Point, California

Provider Information

NPI Number: 1710946876
Entity Type: Individual
Name: DR. Jeannine Carmen Kofford, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 18, 2006
Last Updated: May 31, 2011

Practice Location

Address: 24582 DEL PRADO
Address 2: STE H
City: Dana Point
State: California
ZIP Code: 92629-3843
Phone: (949) 493-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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