Organization
GARY R. COHAN, M.D. - A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROSS COHAN M.D. (PRESIDENT)
(310) 657-6900
Entity
Organization
Contact information
Practice address
150 N ROBERTSON BLVD, SUITE 115, BEVERLY HILLS, CA 90211-2142
(310) 657-6900
(310) 657-6901
Mailing address
150 N ROBERTSON BLVD, SUITE 115, BEVERLY HILLS, CA 90211-2142
(310) 657-6900
(310) 657-6901
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G74832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G74832
CA MEDICAL LICENSE
CA
Enumeration date
04/19/2007
Last updated
03/07/2023
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