Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A104517 | CA |
N | 111NI0900X | Internist | A104517 | CA |
Y | 207RX0202X | Medical Oncology | A104517 | CA |
NPI | 1174763262 |
---|---|
Provider Name | Dr. Melissa Jill Cohen |
First Address | Los Angeles, CA 90095-0001 |
Second Address | Simi Valley, CA 93065-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 06/10/2011 |