Individual
DR. STANLEY Z COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43845 10TH ST W, SUITE 2A, LANCASTER, CA 93534-4800
(818) 709-8161
(818) 709-8160
Mailing address
PO BOX 4478, CHATSWORTH, CA 91313-4478
(818) 882-7730
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G17178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G171780
BLUE SHIELD
CA
05
—
00G171780
—
CA
01
—
G17178
LICENSE
CA
01
—
ZZZ51689Z
BLUE SHIELD
CA
Enumeration date
03/19/2007
Last updated
07/09/2007
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