Individual
DR. DEVORA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
881 ALMA REAL DR STE 101, PACIFIC PALISADES, CA 90272-3792
(310) 829-8923
(424) 212-5936
Mailing address
881 ALMA REAL DR STE 316, PACIFIC PALISADES, CA 90272-5061
(310) 829-8923
(424) 212-5936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G72801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560D
MEDICARE PTAN
CA
Enumeration date
06/23/2006
Last updated
08/17/2020
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