1831204494 NPI number — GARY A COHEN MD INC

Table of content: (NPI 1831204494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831204494 NPI number — GARY A COHEN MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARY A COHEN MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALLERGY & ASTHMA PREVENTION AND TREATMENT CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831204494
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9833 PACIFIC HEIGHTS BLVD
Provider Second Line Business Mailing Address:
SUITE J
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92121-4707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-458-0940
Provider Business Mailing Address Fax Number:
858-458-3688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
STE J
Provider Second Line Business Practice Location Address:
9833 PACIFIC HEIGHTS BLVD
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92121-4707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-458-0940
Provider Business Practice Location Address Fax Number:
858-458-3688
Provider Enumeration Date:
08/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COHEN
Authorized Official First Name:
GARY
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
858-458-0940

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  G43070 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)