Individual
JAY A COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
668 N COAST HWY, BOX 508, LAGUNA BEACH, CA 92651-1513
(949) 422-6420
(949) 497-6430
Mailing address
668 N COAST HWY, BOX 508, LAGUNA BEACH, CA 92651-1513
(949) 422-6420
(949) 497-6430
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G27519
CA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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