Individual
EDWARD STEVEN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, STE 440, LA JOLLA, CA 92037-1224
(858) 453-5944
(858) 429-7925
Mailing address
PO BOX 33865, SAN DIEGO, CA 92163-3865
(858) 888-7700
(858) 888-7721
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G56844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340008382
RAILROAD MEDICARE
CA
01
—
EA322Y
MEDICARE PTAN FOR GHP
CA
Enumeration date
06/10/2006
Last updated
03/18/2020
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