Organization
GREGPRY D COHEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CORTEZ (OFFICE ADMIN)
(310) 231-9500
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD STE 701, LOS ANGELES, CA 90025-6810
(310) 231-9500
(310) 231-9230
Mailing address
11645 WILSHIRE BLVD STE 701, LOS ANGELES, CA 90025-6810
(310) 231-9500
(310) 231-9230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G73635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17915
MEDICARE
CA
Enumeration date
10/04/2007
Last updated
10/04/2007
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