Individual
GREGORY S. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-3520
(916) 536-3527
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G63780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342987
PHCS
CA
01
—
00G637800
BLUE SHIELD
CA
05
—
00G637800
—
CA
01
—
1122853
UNITED HEALTHCARE
CA
01
—
1243326
GREAT WEST
CA
01
—
30359
INTERPLAN
CA
01
—
503052
HEALTH NET
CA
01
—
507858
FIRST HEALTH
CA
01
—
5832149
AETNA
CA
01
—
6349614
CIGNA
CA
01
—
90065857
PACIFICARE
CA
01
—
G63780
BLUE CROSS
CA
01
—
MCMG124200
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
11/04/2006
Last updated
02/09/2012
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