Provider Demographics
NPI:1568716520
Name:COE, SHELLY ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:ROSE
Last Name:COE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:361 HOSPITAL RD STE 530
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3526
Mailing Address - Country:US
Mailing Address - Phone:949-674-0843
Mailing Address - Fax:949-334-1702
Practice Address - Street 1:361 HOSPITAL RD STE 530
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3526
Practice Address - Country:US
Practice Address - Phone:949-674-0843
Practice Address - Fax:949-334-1702
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2022-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG76051207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology