MEDICARE: DR. CHRISTINE ANN COHN DC

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	111N00000X	Chiropractor	24840	CA

General Provider Information

NPI Number	:	1730359589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ANN COHN DC

Provider Business Mailing Address
First Line	:	3151 AIRWAY AVE STE U3
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4627
Country	:	US
Telephone Number	:	714-754-8008
Fax Number	:	714-754-8007

Provider Business Practice Location Address
First Line	:	3151 AIRWAY AVE STE U3
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4627
Country	:	US
Telephone Number	:	714-754-8008
Fax Number	:	714-754-8007

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

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	03/07/2008

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