Provider Demographics
NPI:1134132343
Name:SL HEALTH INC
Entity Type:Organization
Organization Name:SL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:COGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-989-5722
Mailing Address - Street 1:2683 PACIFIC AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806
Mailing Address - Country:US
Mailing Address - Phone:562-989-5722
Mailing Address - Fax:562-989-5732
Practice Address - Street 1:2683 PACIFIC AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:562-989-5722
Practice Address - Fax:562-989-5732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA679460207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A679460Medicaid
CA00A679460Medicaid
BC6270235OtherDEA
BC6270235OtherDEA
A67946Medicare ID - Type Unspecified