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NPI Code Detail

MEDICARE: DR. ALBERT COHEN SEDGH DDS

MEDICARE:  DR. ALBERT  COHEN SEDGH  DDS
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 Dentistry108971CA

General Provider Information

NPI Number : 1871291229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT COHEN SEDGH DDS
Provider Business Mailing Address
First Line : 1101 REXFORD DR APT 305
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1241
Country : US
Telephone Number : 818-605-1074
Fax Number :
Provider Business Practice Location Address
First Line : 1101 REXFORD DR APT 305
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1241
Country : US
Telephone Number : 818-605-1074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 07/16/2023

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Directions to “ DR. ALBERT COHEN SEDGH DDS” Practice Location

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