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NPI Code Detail

MEDICARE: LUKE S COHEN PROFESSIONAL CHIROPRACTIC CORPORATION

MEDICARE: LUKE S COHEN PROFESSIONAL CHIROPRACTIC CORPORATION
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
1111N00000XChiropractorDC25965CA

General Provider Information

NPI Number : 1558650952
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUKE S COHEN PROFESSIONAL CHIROPRACTIC CORPORATION
Provider Business Mailing Address
First Line : 16624 MARQUEZ AVE
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-3233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16624 MARQUEZ AVE
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-3233
Country : US
Telephone Number : 310-230-1899
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LUKE COHEN
Credential :
Telephone Number : 310-230-1899
Provider Enumeration Date : 04/06/2011
Last Update Date : 04/06/2011

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Directions to “LUKE S COHEN PROFESSIONAL CHIROPRACTIC CORPORATION ” Practice Location

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