Individual
GUITA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5106
(310) 820-0013
Mailing address
PO BOX 35447, LOS ANGELES, CA 90035-0447
(310) 820-0013
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
DC23064
CA
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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