Organization
ORTHONORCAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL P COHEN M.D. (PHYSICIAN-PRESIDENT)
(831) 475-4024
Entity
Organization
Contact information
Practice address
4140 JADE ST, SUITE 100, CAPITOLA, CA 95010-3956
(831) 475-4024
Mailing address
4140 JADE ST, SUITE 100, CAPITOLA, CA 95010-3956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A75584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75584
DR.COHEN MEDICARE PTAN NUMBER
CA
01
—
FY744A
MEDICARE PTAN NUMBER
CA
Enumeration date
09/25/2013
Last updated
09/25/2013
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