Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A110351 | CA |
N | 111NI0900X | Internist | A110351 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A110351 | CA |
NPI | 1184955767 |
---|---|
Provider Name | David Cohen |
First Address | La Jolla, CA 92037-1220 |
Second Address | La Jolla, CA 92037-1220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2010 |
Last Update Date | 17/11/2021 |