| Doctor Name: | DR. SHARIAR COHEN-GADOL |
| NPI Number: | 1013054865 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 558 Saint Charles Dr Suite 110, 111 Thousand Oaks, CA - 913603903 |
| Business Phone Number: | 8054498781 |
| Business Fax Number: | 8054494224 |
| Mailing Address: | Po Box 77790, CORONA |
| State: | CA |
| Postal Code: | 928770126 |
| Phone Number: | 8054498781 |
| Fax Number: | 8054494224 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 10/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |