Individual
HAROLD COTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 EMELINE AVE, 1400 EMELINE AVE, BLDG K, SANTA CRUZ, CA 95060-1966
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A42796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42796
MEDICAL LICENSE #
CA
01
—
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
04/20/2007
Last updated
03/07/2023
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