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NPI Code Detail

MEDICARE: DR. RICHARD COHEN D.C.

MEDICARE: DR. RICHARD COHEN D.C.
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
1111N00000XChiropractorDC13986CA

General Provider Information

NPI Number : 1518041789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD COHEN D.C.
Provider Business Mailing Address
First Line : 1919 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-378-7246
Fax Number : 310-373-9618
Provider Business Practice Location Address
First Line : 1919 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-378-7246
Fax Number : 310-373-9618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD COHEN D.C.” Practice Location

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