| Doctor Name: | DR. JOHN RALPH COON |
| NPI Number: | 1376818989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25456 |
| Business Practice Address: | 27022 La Paja Ln Mission Viejo, CA - 926916023 |
| Business Phone Number: | 9495825380 |
| Business Fax Number: | 9495823837 |
| Mailing Address: | 27022 La Paja Ln, MISSION VIEJO |
| State: | CA |
| Postal Code: | 926916023 |
| Phone Number: | 9495825380 |
| Fax Number: | 9495823837 |
| NPI Enumeration Date: | 03/14/2012 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |