Individual
DR. MICHAEL L COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 ATLANTIC AVE FL 2, LONG BEACH, CA 90813
(562) 989-5722
(562) 989-5732
Mailing address
780 ATLANTIC AVE FL 2, LONG BEACH, CA 90813-4565
(562) 989-5722
(562) 989-5732
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A679460
CA
208D00000X
General Practice Physician
A679460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A679460
—
CA
01
—
05D0554276
CLIA #
—
05
—
1134132343
—
CA
Enumeration date
08/15/2006
Last updated
03/07/2023
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