Provider Demographics
NPI:1588615553
Name:COHEN, ROBERT HOWARD (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HOWARD
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6226 E SPRING ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1423
Mailing Address - Country:US
Mailing Address - Phone:562-420-1338
Mailing Address - Fax:562-420-7389
Practice Address - Street 1:6226 E SPRING ST
Practice Address - Street 2:STE 100
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1423
Practice Address - Country:US
Practice Address - Phone:562-420-1338
Practice Address - Fax:562-420-7389
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2012-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG26219207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42942Medicare UPIN