Doctor Name: | DR. IRA RICHARD COHEN |
NPI Number: | 1033207915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E2612 |
Business Practice Address: | 9901 Paramount Blvd Ste 202 Downey, CA - 902403853 |
Business Phone Number: | 5629230371 |
Business Fax Number: | 5628698419 |
Mailing Address: | 9901 Paramount Blvd, Ste 202 DOWNEY |
State: | CA |
Postal Code: | 902403853 |
Phone Number: | 5629230371 |
Fax Number: | 5628698419 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | E2612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |