Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A15534 | CA |
N | 207P00000X | Emergency Physician | H0080100 | MD |
Y | 207PP0204X | Pediatric Emergency Physician | 20A15534 | CA |
NPI | 1326306481 |
---|---|
Provider Name | Ariel Cohen |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 24/05/2017 |