Organization
LINDA S. COWAN, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA COWAN MD (OWNER)
(213) 977-9704
Entity
Organization
Contact information
Practice address
637 LUCAS AVE, #205, LOS ANGELES, CA 90017-1912
(213) 977-9704
(213) 977-9714
Mailing address
637 LUCAS AVE, #205, LOS ANGELES, CA 90017-1912
(213) 977-9704
(213) 977-9714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1016471
CA
207SG0201X
Clinical Genetics (M.D.) Physician
G71737
CA
207V00000X
Obstetrics & Gynecology Physician
G60046
CA
207V00000X
Obstetrics & Gynecology Physician
G71737
CA
207VM0101X
Maternal & Fetal Medicine Physician
G60046
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G71737
CA
2080P0202X
Pediatric Cardiology Physician
A69190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G717370
—
CA
Enumeration date
02/25/2011
Last updated
02/26/2013
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