Organization
STANLEY Z. COWEN, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY Z COWEN M.D. (PRESIDENT)
(818) 882-7730
Entity
Organization
Contact information
Practice address
43845 10TH ST W, #2A, LANCASTER, CA 93534-4800
(818) 709-8161
(818) 709-8160
Mailing address
PO BOX 4478, CHATSWORTH, CA 91313-4478
(818) 709-8161
(818) 709-8160
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 INDIVIDUAL ID
—
05
—
00G171780
—
CA
01
—
G17178
PRIVATE INSURANCE ID
—
01
—
ZZZ51689Z
BLUE SHIELD GROUP ID
—
Enumeration date
06/30/2006
Last updated
08/22/2020
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