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NPI Code Detail

MEDICARE: CATREEN COHEN DDS, A PROFESSIONAL DENTAL CORP

MEDICARE: CATREEN COHEN DDS, A PROFESSIONAL DENTAL CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry49861CA

General Provider Information

NPI Number : 1558561886
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATREEN COHEN DDS, A PROFESSIONAL DENTAL CORP
Provider Business Mailing Address
First Line : 3009 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-730-7200
Fax Number : 323-730-7201
Provider Business Practice Location Address
First Line : 3009 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-730-7200
Fax Number : 323-730-7201
Authorized Official
Title or Position : DENTIST
Name : DR. CATREEN COHEN
Credential : DDS
Telephone Number : 310-429-6786
Provider Enumeration Date : 07/24/2007
Last Update Date : 07/24/2007

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Directions to “CATREEN COHEN DDS, A PROFESSIONAL DENTAL CORP ” Practice Location

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