MEDICARE: DR. SAGI JACOB COHEN M.D.

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	207R00000X	Internal Medicine Physician	A127186	CA

General Provider Information

NPI Number	:	1679872311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAGI JACOB COHEN M.D.

Provider Business Mailing Address
First Line	:	23622 CALABASAS RD STE 122
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-4144
Country	:	US
Telephone Number	:	818-881-8252
Fax Number	:	818-881-8254

Provider Business Practice Location Address
First Line	:	23622 CALABASAS RD STE 122
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-4144
Country	:	US
Telephone Number	:	818-881-8252
Fax Number	:	818-881-8254

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

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/11/2023

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