Individual
RENEE COBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 S STATE COLLEGE BLVD, BREA, CA 92821-5726
(714) 870-7546
(714) 447-3376
Mailing address
475 S STATE COLLEGE BLVD, BREA, CA 92821-5726
(714) 870-7546
(714) 447-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G64293
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G64293
CA
207ND0900X
Dermatopathology Physician
G64293
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G64293
CA
207NP0225X
Pediatric Dermatology Physician
G64293
CA
207NS0135X
Procedural Dermatology Physician
G64293
CA
Other
Enumeration date
07/29/2005
Last updated
10/13/2017
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