Provider Demographics
NPI:1275708729
Name:MICHAEL D. COHEN, M.D., INC
Entity Type:Organization
Organization Name:MICHAEL D. COHEN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-481-1651
Mailing Address - Street 1:PO BOX 800878
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-0878
Mailing Address - Country:US
Mailing Address - Phone:661-481-1651
Mailing Address - Fax:661-244-1394
Practice Address - Street 1:27420 TOURNEY RD STE 200
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5634
Practice Address - Country:US
Practice Address - Phone:661-481-1651
Practice Address - Fax:661-244-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG077294174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH53858Medicare UPIN