| Doctor Name: | DR. ELWOOD COHEN |
| NPI Number: | 1659332229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 020A42310 |
| Business Practice Address: | 29099 Hospital Rd 204b Lake Arrowhead, CA - 923522884 |
| Business Phone Number: | 9093377771 |
| Business Fax Number: | 9093375353 |
| Mailing Address: | Po Box 2884, LAKE ARROWHEAD |
| State: | CA |
| Postal Code: | 923522884 |
| Phone Number: | 9093377771 |
| Fax Number: | 9093375353 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 020A42310 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |