Individual
SAMANTHA JILL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17264 RED HILL AVE, IRVINE, CA 92614-5628
(949) 724-0011
(949) 724-0012
Mailing address
9 REMINGTON, IRVINE, CA 92620-5707
(949) 857-0758
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14429
CA
Other
Enumeration date
06/09/2011
Last updated
03/23/2012
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