Individual
DR. AMANDA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, L.AC
Contact information
Practice address
3036 GLENDALE BLVD., LOS ANGELES, CA 90039
(424) 835-0884
(323) 978-5158
Mailing address
3036 GLENDALE BLVD., LOS ANGELES, CA 90039
(424) 835-0884
(323) 978-5158
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
CA15953
CA
208D00000X
General Practice Physician
Primary
CA15953
CA
261QM2500X
Medical Specialty Clinic/Center
CA15953
CA
261QP2300X
Primary Care Clinic/Center
CA15953
CA
Other
Enumeration date
04/10/2014
Last updated
06/26/2020
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