NPI 1063862134

Brent Coffman, DC

Practitioner Chiropractor Camarillo, CA

Practice location

Address: 1601 Carmen Dr STE 112, Camarillo, CA 93010-3100
Phone: (805) 383-9114

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 33609 (CA)

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Registry record

NPI: 1063862134
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2016
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.