Individual
STEVEN R COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4510 EXECUTIVE DR STE 200, SAN DIEGO, CA 92121-3023
(858) 842-2370
(858) 842-2375
Mailing address
4510 EXECUTIVE DR STE 200, SAN DIEGO, CA 92121-3023
(858) 842-2370
(858) 842-2375
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
G66027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G660271
—
CA
Enumeration date
02/27/2007
Last updated
09/22/2010
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