Healthcare Provider Details

I. General information

NPI: 1699237347
Provider Name (Legal Business Name): ELYSIA R COHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 PAJARO ST
SALINAS CA
93901-3459
US

IV. Provider business mailing address

427 PAJARO ST
SALINAS CA
93901-3459
US

V. Phone/Fax

Practice location:
  • Phone: 800-214-5439
  • Fax:
Mailing address:
  • Phone: 800-214-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA201968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: