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Individual

MARC RICHARD COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4101 TORRANCE BLVD, EM DEPT, TORRANCE, CA 90503-4607
(310) 540-7676
(405) 749-4561
Mailing address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(405) 751-4664
(405) 749-4561

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A74572
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A745720
CA
Enumeration date
06/19/2006
Last updated
05/12/2018
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