Individual
JASON SETH COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, CS-OCC, LOS ANGELES, CA 90048-1804
(310) 652-3779
(310) 659-9039
Mailing address
8700 BEVERLY BLVD, CS-OCC, LOS ANGELES, CA 90048-1804
(310) 652-3779
(310) 659-9039
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A71435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714350
—
CA
01
—
A71435A
MEDICARE PTAN
CA
Enumeration date
07/27/2006
Last updated
01/06/2010
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