Provider Demographics
NPI:1073380044
Name:COCCHIARO, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:COCCHIARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25858 NEW CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-5263
Mailing Address - Country:US
Mailing Address - Phone:951-654-8423
Mailing Address - Fax:
Practice Address - Street 1:25858 NEW CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-5263
Practice Address - Country:US
Practice Address - Phone:951-654-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility