Individual
JAMIE FARYL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 990-2222
Mailing address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 990-2222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14243
CA
Other
Enumeration date
07/13/2011
Last updated
10/17/2012
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