# ORTHONORCAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124398235
- **Authorized official:** DR. NATHANIEL P COHEN M.D. (PHYSICIANS -PRESIDENT)
- **Authorized official phone:** (408) 412-8100

## Contact information

- **Practice address:** 340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
- **Practice address phone:** (408) 412-8100
- **Practice address fax:** (408) 369-9035
- **Mailing address:** 340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
- **Mailing address phone:** (408) 412-8100
- **Mailing address fax:** (408) 412-8499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A75584 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 07/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6740500001 | PTAN - DME | CA |
| 01 | — | A75584 | DR. COHEN MEDICARE | CA |
| 01 | — | FY744A | MEDICARE PTAN | CA |
