Provider Demographics
NPI:1679712103
Name:COTE, CHRISTY (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:COTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16787 BEACH BLVD
Mailing Address - Street 2:#502
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4848
Mailing Address - Country:US
Mailing Address - Phone:760-450-7532
Mailing Address - Fax:
Practice Address - Street 1:16787 BEACH BLVD
Practice Address - Street 2:#502
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4848
Practice Address - Country:US
Practice Address - Phone:760-450-7532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor