Individual
ROBERT COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1654 CAMINO LINDO, S PASADENA, CA 91030-4130
(626) 840-7446
Mailing address
1654 CAMINO LINDO, S PASADENA, CA 91030-4130
(626) 840-7446
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G50696
CA
2085N0700X
Neuroradiology Physician
G50696
CA
2085N0904X
Nuclear Radiology Physician
G50696
CA
2085P0229X
Pediatric Radiology Physician
G50696
CA
2085R0202X
Diagnostic Radiology Physician
67028
CT
2085R0202X
Diagnostic Radiology Physician
Primary
G50696
CA
2085R0203X
Therapeutic Radiology Physician
G50696
CA
2085R0204X
Vascular & Interventional Radiology Physician
G50696
CA
2085U0001X
Diagnostic Ultrasound Physician
G50696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G506960
BLUE SHIELD
CA
05
—
00G506960
—
CA
01
—
CA291024
MEDICARE
CA
01
—
CA291025
MEDICARE
CA
01
—
CA291026
MEDICARE
CA
01
—
CB292538
MEDICARE
CA
01
—
G50696
PHYSICIAN & SURGEON LIC
CA
01
—
P01995289
RAILROAD
CA
01
—
P01995291
RAILROAD
CA
Enumeration date
07/25/2006
Last updated
03/07/2023
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