Individual
JONATHAN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12975 HARWICK LANE, SAN DIEGO, CA 92130
(858) 342-6950
Mailing address
12975 HARWICK LANE, SAN DIEGO, CA 92130
(858) 342-6950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251B00000X
Case Management Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
374700000X
Technician
—
—
Other
Enumeration date
02/05/2025
Last updated
04/15/2026
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