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NPI Code Detail

MEDICARE: STACY RENEE COHEN-BARRERA PAC

MEDICARE: STACY RENEE COHEN-BARRERA PAC
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
1363AM0700XMedical Physician AssistantPA22799CA

General Provider Information

NPI Number : 1689615361
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY RENEE COHEN-BARRERA PAC
Provider Business Mailing Address
First Line : 24331 EL TORO RD STE 200
Second Line :
City : LAGUNA WOODS
State : CA
Zip : 92637-3116
Country : US
Telephone Number : 949-586-3200
Fax Number : 949-900-2136
Provider Business Practice Location Address
First Line : 24331 EL TORO RD STE 200
Second Line :
City : LAGUNA WOODS
State : CA
Zip : 92637-3116
Country : US
Telephone Number : 495-863-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 11/07/2021

Similar Medicare Providers

1952304594 — DR. ROBERT LANCE MONTGOMERY M.D.
Practice Location Address:
24331 EL TORO RD STE 200
LAGUNA WOODS, CA
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Practice Phone: 949-586-3200
Practice Fax: 949-900-2116
1184627721 — DR. LONNIE J MOSKOW M.D.
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1417950064 — DR. LARRY MARC GERSTEN M.D.
Practice Location Address:
24331 EL TORO RD STE 200
LAGUNA WOODS, CA
92637-3116
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Practice Fax: 949-900-2116
1902809551 — DR. SCOTT MICHAEL GRAHAM M.D.
Practice Location Address:
24331 EL TORO RD STE 200
LAGUNA WOODS, CA
92637-3116
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Practice Fax: 949-900-2136
1265436620 — DR. KYLE WAYNE COKER M.D.
Practice Location Address:
24331 EL TORO RD STE 200
LAGUNA WOODS, CA
92637-3116
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1083660864 — DR. BRYCE ALAN JOHNSON M.D.
Practice Location Address:
24331 EL TORO RD STE 200
LAGUNA WOODS, CA
92637-3116
Practice Phone: 949-586-3200
Practice Fax: 949-900-2116

Directions to “ STACY RENEE COHEN-BARRERA PAC” Practice Location

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