Organization
KENNETH COHN, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COHN M.D. (PRESIDENT)
(323) 567-1396
Entity
Organization
Contact information
Practice address
3849 TWEEDY BLVD, SOUTH GATE, CA 90280-6101
(323) 567-1396
(323) 567-4956
Mailing address
3849 TWEEDY BLVD, SOUTH GATE, CA 90280-6101
(323) 567-1396
(323) 567-4956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G18784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100640
—
CA
Enumeration date
01/18/2007
Last updated
08/24/2012
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