MEDICARE: DR. GARY ALAN COHEN MD

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	207K00000X	Allergy & Immunology Physician	G43070	CA

General Provider Information

NPI Number	:	1346424462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY ALAN COHEN MD

Provider Business Mailing Address
First Line	:	9833 PACIFIC HEIGHTS BLVD
Second Line	:	STE J
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4074
Country	:	US
Telephone Number	:	858-458-0940
Fax Number	:	858-458-3688

Provider Business Practice Location Address
First Line	:	9833 PACIFIC HEIGHTS BLVD
Second Line	:	STE J
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4074
Country	:	US
Telephone Number	:	858-458-0940
Fax Number	:	858-458-3688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	03/29/2026

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