Provider Demographics
NPI:1225064884
Name:COHAN, PEJMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PEJMAN
Middle Name:
Last Name:COHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8816 BURTON WAY
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1715
Mailing Address - Country:US
Mailing Address - Phone:310-657-3030
Mailing Address - Fax:310-657-9777
Practice Address - Street 1:8816 BURTON WAY
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1715
Practice Address - Country:US
Practice Address - Phone:310-657-3030
Practice Address - Fax:310-657-9777
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61196207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH16778Medicare UPIN
CAWA61196CMedicare ID - Type UnspecifiedMEDICARE MEMBER ID
CAW19337Medicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER