MEDICARE: WILLIAM C COHEN D O INC

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
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	20A6844	CA

General Provider Information

NPI Number	:	1225178510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C COHEN D O INC

Provider Business Mailing Address
First Line	:	1010 W LA VETA AVE STE 445
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-628-1313
Fax Number	:	714-628-1319

Provider Business Practice Location Address
First Line	:	1010 W LA VETA AVE STE 445
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-628-1313
Fax Number	:	714-628-1319

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM CLAY COHEN
Credential	:	D.O.
Telephone Number	:	714-628-1313

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	09/02/2025

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