Individual
GREGORY D COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13500 VAN NUYS BLVD, PACOIMA, CA 91331-3025
(310) 231-9500
(310) 231-9230
Mailing address
13500 VAN NUYS BLVD, PACOIMA, CA 91331-3025
(310) 231-9500
(310) 231-9230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G73635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G736350
MEDICAL PPIN #
CA
Enumeration date
07/25/2006
Last updated
09/30/2015
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