Individual
JASON EZRA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 NEWBURY RD STE 150, THOUSAND OAKS, CA 91320-3663
(877) 724-6349
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A175428
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A175428
CA
Other
Enumeration date
03/24/2017
Last updated
04/22/2024
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