Healthcare Provider Details

I. General information

NPI: 1619315512
Provider Name (Legal Business Name): ALEN N. COHEN, MD, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 06/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 MEDICAL CENTER DR. SUITE 510
WEST HILLS CA
91307-1967
US

IV. Provider business mailing address

7345 MEDICAL CENTER DR. SUITE 510
WEST HILLS CA
91307-1967
US

V. Phone/Fax

Practice location:
  • Phone: 818-888-7878
  • Fax: 818-888-5200
Mailing address:
  • Phone: 818-888-7878
  • Fax: 818-888-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEN COHEN
Title or Position: CEO
Credential: MD
Phone: 818-888-7878