Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | A73894 | CA |
NPI | 1073588786 |
---|---|
Provider Name | Mr. Ronald Scott Cohen |
First Address | Oceanside, CA 92056 |
Second Address | Oceanside, CA 92056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 31/07/2013 |