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Organization
ORTHONORCAL, INC.
Active
Organization
ORTHONORCAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL P COHEN M.D. (PHYSICIANS -PRESIDENT)
(408) 412-8100
Entity
Organization
Contact information
Practice address
340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
(408) 412-8100
(408) 369-9035
Mailing address
340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
(408) 412-8100
(408) 412-8499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A75584
CA
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6740500001
PTAN - DME
CA
01
—
A75584
DR. COHEN MEDICARE
CA
01
—
FY744A
MEDICARE PTAN
CA
Enumeration date
01/05/2012
Last updated
07/15/2020
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