Healthcare Provider Details

I. General information

NPI: 1487304523
Provider Name (Legal Business Name): DANIEL COHRS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E DOUGLAS AVE
EL CAJON CA
92020-4514
US

IV. Provider business mailing address

270 E DOUGLAS AVE
EL CAJON CA
92020-4514
US

V. Phone/Fax

Practice location:
  • Phone: 213-654-3025
  • Fax: 310-982-6411
Mailing address:
  • Phone: 213-654-3024
  • Fax: 310-982-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA189598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: