Provider Demographics
NPI:1902189673
Name:COGGINS, MARGOT (IMF)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:
Last Name:COGGINS
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6456 HAYES DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5318
Mailing Address - Country:US
Mailing Address - Phone:607-227-1494
Mailing Address - Fax:
Practice Address - Street 1:1935 HILLHURST AVE
Practice Address - Street 2:B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-2700
Practice Address - Country:US
Practice Address - Phone:607-227-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT91188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist