Organization
ANDREW T COHEN A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ORNITZ COHEN (OFFICE MANAGER)
(310) 659-8771
Entity
Organization
Contact information
Practice address
9400 BRIGHTON WAY STE 201, BEVERLY HILLS, CA 90210-4709
(310) 659-8771
(310) 388-5222
Mailing address
9400 BRIGHTON WAY STE 201, BEVERLY HILLS, CA 90210-4709
(310) 659-8771
(310) 388-5222
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A56223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841367208
BLUE SHIELD
CA
Enumeration date
05/01/2018
Last updated
05/01/2018
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