Organization
BARRY M. COGEN, D.O., INC
Active
Other names
Kids and Parents Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY MATTHEW COGEN D.O. (DIRECTOR)
(805) 644-3311
Entity
Organization
Contact information
Practice address
2772 JOHNSON DR, SUITE 114, VENTURA, CA 93003
(805) 644-3311
(805) 644-2161
Mailing address
2772 JOHNSON DR, SUITE 114, VENTURA, CA 93003
(805) 644-3311
(805) 644-2161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5574
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
20A5574
CA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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