| Doctor Name: | DR. MARIO KOHAN |
| NPI Number: | 1184790305 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A348750 |
| Business Practice Address: | 2208 W 7th St Los Angeles, CA - 900574002 |
| Business Phone Number: | 2133843434 |
| Business Fax Number: | 2133862039 |
| Mailing Address: | Po Box 10432, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902133432 |
| Phone Number: | 2136372530 |
| Fax Number: | 2133843373 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 05/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A348750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |