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Organization
STACY A COHEN MD CORP
Active
Organization
STACY A COHEN MD CORP
Active
Other names
The Moment by Dr. Stacy Cohen
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY A COHEN MD (OWNER/CEO)
(424) 532-1552
Entity
Organization
Contact information
Practice address
2730 WILSHIRE BLVD STE 350, SANTA MONICA, CA 90403-4752
(424) 532-1552
(888) 247-7249
Mailing address
2730 WILSHIRE BLVD STE 350, SANTA MONICA, CA 90403-4752
(424) 532-1552
(888) 247-7249
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073843637
NPPES
CA
Enumeration date
04/23/2019
Last updated
06/11/2019
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