Provider Demographics
NPI:1639407794
Name:COTE', ADAM (LAC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:COTE'
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 LOMA ST APT 4
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-1860
Mailing Address - Country:US
Mailing Address - Phone:805-886-8602
Mailing Address - Fax:
Practice Address - Street 1:1709 LOMA ST APT 4
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-1860
Practice Address - Country:US
Practice Address - Phone:805-886-8602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11396171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist