Individual
WALTER JAYE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3706 RUFFIN RD STE 129, SAN DIEGO, CA 92123-1812
(858) 587-1822
Mailing address
3706 RUFFIN RD STE 129, SAN DIEGO, CA 92123-1812
(858) 587-1822
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
15474
CA
207R00000X
Internal Medicine Physician
260598
MA
Other
Enumeration date
07/03/2014
Last updated
07/21/2022
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