Healthcare Provider Details

I. General information

NPI: 1538349865
Provider Name (Legal Business Name): PEJMAN COHAN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2007
Last Update Date: 08/01/2020
Certification Date: 08/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8816 BURTON WAY
BEVERLY HILLS CA
90211-1715
US

IV. Provider business mailing address

8816 BURTON WAY
BEVERLY HILLS CA
90211-1715
US

V. Phone/Fax

Practice location:
  • Phone: 310-657-3030
  • Fax: 310-657-9777
Mailing address:
  • Phone: 310-657-3030
  • Fax: 310-657-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA61196
License Number StateCA

VIII. Authorized Official

Name: DR. PEJMAN COHAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-657-3030